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Individual
SUSHAN JOSHI
Active
Individual
SUSHAN JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C192634
CA
207R00000X
Internal Medicine Physician
MD154091
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
NBMC MAIN GROUP NPI
OR
01
—
160423
MEDICARE-PTAN
OR
01
—
161133
NBMC MAIN GROUP MEDICAID
OR
05
—
500635717
—
OR
01
—
930635514
NBMC MAIN GROUP TAX ID
OR
01
—
R0000WFBTV
NBMC MAIN GROUP MEDICARE
—
Enumeration date
08/19/2008
Last updated
05/01/2024
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