Provider Demographics
NPI:1720282387
Name:DOSHI, SNEHAL JITENDRA (MD)
Entity Type:Individual
Prefix:
First Name:SNEHAL
Middle Name:JITENDRA
Last Name:DOSHI
Suffix:
Gender:M
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:PO BOX 20216
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77720-0216
Mailing Address - Country:US
Mailing Address - Phone:409-767-9086
Mailing Address - Fax:800-767-9257
Practice Address - Street 1:3080 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701
Practice Address - Country:US
Practice Address - Phone:409-212-7320
Practice Address - Fax:409-212-7321
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM79572080N0001X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191973002Medicaid
691534056OtherMYUTMB 691534056-COMMERCIAL NUMBER
691534056OtherMYUTMB 691534056-COMMERCIAL NUMBER