Provider Demographics
NPI:1952384679
Name:JOSHI, MANISH B (MD)
Entity type:Individual
Prefix:
First Name:MANISH
Middle Name:B
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1280 BOARDMAN CANFIELD RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4073
Mailing Address - Country:US
Mailing Address - Phone:330-726-9769
Mailing Address - Fax:330-726-9582
Practice Address - Street 1:1300 S CANFIELD NILES RD
Practice Address - Street 2:STE 4
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-4081
Practice Address - Country:US
Practice Address - Phone:330-799-9904
Practice Address - Fax:330-799-9687
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2015-07-15
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Provider Licenses
StateLicense IDTaxonomies
OH35070861207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0403181OtherUNITEDHEALTHCARE
OH0274420Medicaid
OH1548869OtherGATEWAY HEALTH PLAN OF OHIO
OH000000141915OtherANTHEM BLUE CROSS AND BLUE SHIELD
110195156OtherRAILROAD MEDICARE
341905952027OtherCARESOURCE
Z70861OtherSUMMACARE HEALTH PLAN
110195156OtherRAILROAD MEDICARE
Z70861OtherSUMMACARE HEALTH PLAN
G35892Medicare UPIN