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Organization
SHARDA J. DOSHI, M.D.PA
Active
Organization
SHARDA J. DOSHI, M.D.PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARDA JITENDRA DOSHI M.D. (PRESIDENT)
(409) 833-8850
Entity
Organization
Contact information
Practice address
2929 CALDER AVE, SUITE 300, BEAUMONT, TX 77702-1845
(409) 833-8850
(409) 833-2829
Mailing address
2929 CALDER AVE, SUITE 300, BEAUMONT, TX 77702-1845
(409) 833-8850
(409) 833-2829
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G0692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B17Y
BLUE CROSS BLUE SHIELD
TX
05
—
132971602
—
TX
Enumeration date
12/04/2007
Last updated
12/03/2014
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