Provider Demographics
NPI:1720066426
Name:JOSHI, JAYASHREE (MD)
Entity Type:Individual
Prefix:DR
First Name:JAYASHREE
Middle Name:
Last Name:JOSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 RANCH DR
Mailing Address - Street 2:#A
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5107
Mailing Address - Country:US
Mailing Address - Phone:408-946-1878
Mailing Address - Fax:
Practice Address - Street 1:246 RANCH DR
Practice Address - Street 2:#A
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5107
Practice Address - Country:US
Practice Address - Phone:408-946-1878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA517170207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A517170Medicare PIN