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Individual

SHIVANI JOSHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2916 CENTRAL AVE, CLEVELAND, OH 44115-3229
(216) 535-9100
Mailing address
2916 CENTRAL AVE, CLEVELAND, OH 44115-3229
(216) 535-9100

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
APP-000133564
OH
208000000X
Pediatrics Physician
MD461538
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT207392
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103340054
PA
Enumeration date
06/13/2014
Last updated
07/28/2020
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