Individual
DIMPLE AJAY JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 MEDICAL PARK DR, SUITE 210, CONCORD, NC 28025-2948
(704) 403-6100
(704) 403-6131
Mailing address
PO BOX 602478, CHARLOTTE, NC 28260-2478
(704) 403-6100
(704) 403-6131
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
104215
NC
363AM0700X
Medical Physician Assistant
911
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306PA
—
SC
05
—
1407960768
—
NC
01
—
P00307924
RAILROAD MEDICARE
—
Enumeration date
08/17/2006
Last updated
02/24/2014
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