Provider Demographics
NPI:1730374109
Name:ASHOK M DOSHI M.D.S.C. LTD
Entity type:Organization
Organization Name:ASHOK M DOSHI M.D.S.C. LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-763-6260
Mailing Address - Street 1:7101 W HIGGINS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1903
Mailing Address - Country:US
Mailing Address - Phone:773-763-6260
Mailing Address - Fax:773-792-9119
Practice Address - Street 1:7101 W HIGGINS AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-1903
Practice Address - Country:US
Practice Address - Phone:773-763-6260
Practice Address - Fax:773-792-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE43251Medicare UPIN
IL719800Medicare PIN