Provider Demographics
NPI:1952359945
Name:JOSHI, DILIP N (MD)
Entity Type:Individual
Prefix:DR
First Name:DILIP
Middle Name:N
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 849
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38556
Mailing Address - Country:US
Mailing Address - Phone:913-879-5884
Mailing Address - Fax:931-879-3928
Practice Address - Street 1:117 NORTH DUNCAN STREET
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:TN
Practice Address - Zip Code:38556
Practice Address - Country:US
Practice Address - Phone:913-879-5884
Practice Address - Fax:931-879-3928
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD11853207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3383106Medicaid
TN3383106Medicaid
B03297Medicare UPIN