Provider Demographics
NPI:1124047568
Name:JOSHI, MAHENDRA KUMAR (MD)
Entity type:Individual
Prefix:
First Name:MAHENDRA
Middle Name:KUMAR
Last Name:JOSHI
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 1:5860 COLUMBIA PIKE STE 105
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2047
Mailing Address - Country:US
Mailing Address - Phone:703-348-9111
Mailing Address - Fax:703-888-3848
Practice Address - Street 1:7609 RICHMOND HWY STE B
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-2847
Practice Address - Country:US
Practice Address - Phone:703-348-9111
Practice Address - Fax:703-888-3848
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30897207R00000X
VA0101271389207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4094244OtherBLUE CROSS BLUE SHIELD
TNG85465Medicare UPIN
TN3831705Medicare ID - Type Unspecified