Individual
DR. JAY KAUSHIK JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
11360 BROADWAY, CROWN POINT, IN 46307-7197
(219) 301-2624
Mailing address
PO BOX 578220, CHICAGO, IL 60657-7303
(773) 935-4700
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01074818A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01074818A
—
IN
Enumeration date
05/10/2011
Last updated
07/14/2023
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