Provider Demographics
NPI:1730533480
Name:DLOOMY, JOSHUA DANIEL (MD)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:DANIEL
Last Name:DLOOMY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 EAST MILLBROOK RD.
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609
Mailing Address - Country:US
Mailing Address - Phone:919-878-8596
Mailing Address - Fax:919-878-0744
Practice Address - Street 1:1422 EAST MILLBROOK RD.
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609
Practice Address - Country:US
Practice Address - Phone:919-878-8596
Practice Address - Fax:919-878-0744
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2025-04-29
Deactivation Date:2016-12-06
Deactivation Code:
Reactivation Date:2017-01-11
Provider Licenses
StateLicense IDTaxonomies
NC2019-01816207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program