Individual
MANDAR M JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5700 MONROE ST UNIT 211, SYLVANIA, OH 43560-2737
(419) 776-1004
(419) 776-1020
Mailing address
5700 MONROE ST UNIT 211, SYLVANIA, OH 43560-2737
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35088233
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
35088233
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
4301076657
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000484353
ANTHEM
OH
05
—
2667403
—
OH
01
—
341196311
TAX IDENTIFICATION NUMBER
—
05
—
4602294
—
MI
01
—
JO4188811
PTAN
—
Enumeration date
05/18/2006
Last updated
03/10/2025
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