Provider Demographics
NPI:1831162874
Name:DOSHI, DIPAUNI S (MD)
Entity type:Individual
Prefix:
First Name:DIPAUNI
Middle Name:S
Last Name:DOSHI
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 1:12221 MERIT DR
Mailing Address - Street 2:STE 1500
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-2202
Mailing Address - Country:US
Mailing Address - Phone:214-217-1900
Mailing Address - Fax:214-217-1901
Practice Address - Street 1:12221 MERIT DR
Practice Address - Street 2:STE 1500
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2202
Practice Address - Country:US
Practice Address - Phone:214-217-1900
Practice Address - Fax:214-217-1901
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2607207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200094700AMedicaid
TX8U3496OtherBCBS
MA207389OtherTUFTS
MAPV003OtherHARVARD PILGRIM
MA0106411Medicaid
TX183431901Medicaid
MAJ22823OtherBLUE CROSS
MAA31524Medicare ID - Type Unspecified
TX8J0756Medicare PIN
OK200094700AMedicaid
TX8U3496OtherBCBS