Provider Demographics
NPI:1104820539
Name:JOSHI, JANAK G (MD)
Entity type:Individual
Prefix:DR
First Name:JANAK
Middle Name:G
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1605 N UNION BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-2811
Mailing Address - Country:US
Mailing Address - Phone:719-630-1006
Mailing Address - Fax:719-630-0688
Practice Address - Street 1:1605 N UNION BLVD
Practice Address - Street 2:STE 200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-2811
Practice Address - Country:US
Practice Address - Phone:719-630-1006
Practice Address - Fax:719-630-0688
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO21893207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01218932Medicaid
COCM5718Medicare PIN
COD28285Medicare UPIN