Individual
SHAUN K JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1986 W HAYDEN AVE, HAYDEN, ID 83835-7412
(208) 762-7760
(208) 762-7740
Mailing address
1986 W HAYDEN AVE, HAYDEN, ID 83835-7412
(208) 762-7760
(208) 762-7740
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M-8219
ID
207RN0300X
Nephrology Physician
MD00037068
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11003291
MEDICARE PTAN
—
01
—
1370136
MEDICARE GROUP PTAN
—
05
—
7144785
—
WA
05
—
8058994
—
ID
05
—
8080036
—
ID
05
—
8239220
—
WA
Enumeration date
08/22/2006
Last updated
06/16/2021
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