Provider Demographics
NPI:1881602563
Name:JOSHI, SHOBHNA R (MD)
Entity type:Individual
Prefix:
First Name:SHOBHNA
Middle Name:R
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 1:2019 CORPORATE DR
Mailing Address - Street 2:TOTAL LUNG CARE AND SLEEP CENTER
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8884
Mailing Address - Country:US
Mailing Address - Phone:859-623-8981
Mailing Address - Fax:859-624-3146
Practice Address - Street 1:2019 CORPORATE DR
Practice Address - Street 2:TOTAL LUNG CARE AND SLEEP CENTER
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8884
Practice Address - Country:US
Practice Address - Phone:859-623-8981
Practice Address - Fax:859-624-3146
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY23842207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64238421Medicaid
P00427581OtherMEDICARE RAILROAD
P00427581OtherMEDICARE RAILROAD
KY64238421Medicaid