Individual
SAMIR ASHWIN JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
(952) 831-1626
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53620
KY
207Q00000X
Family Medicine Physician
68621
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
68621
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300042832
—
IN
05
—
7100687820
—
KY
Enumeration date
06/18/2017
Last updated
01/05/2024
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