Individual
MANDIP JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 306, ALBUQUERQUE, NM 87106-4932
(505) 563-1000
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2016-0425
NM
Other
Enumeration date
09/24/2008
Last updated
08/03/2016
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