Provider Demographics
NPI:1538190806
Name:JOSHI, ROHINI J (MD)
Entity type:Individual
Prefix:
First Name:ROHINI
Middle Name:J
Last Name:JOSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 GREENFIELD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-3568
Mailing Address - Country:US
Mailing Address - Phone:559-584-7800
Mailing Address - Fax:559-584-7877
Practice Address - Street 1:1401 SPANOS CT
Practice Address - Street 2:SUITE 108
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-2810
Practice Address - Country:US
Practice Address - Phone:209-525-3820
Practice Address - Fax:209-525-3833
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2013-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA796242084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A796241Medicaid