Individual
MEHUL MAHENDRA DOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2941 S RIDGE RD, GREEN BAY, WI 54304-5517
(920) 336-4096
(920) 336-8093
Mailing address
2941 S RIDGE RD, GREEN BAY, WI 54304-5517
(920) 336-4096
(920) 336-8093
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
36559
IA
2085R0202X
Diagnostic Radiology Physician
Primary
50011
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578514287
—
WI
05
—
34780800
—
WI
Enumeration date
05/15/2006
Last updated
02/26/2024
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