Provider Demographics
NPI:1154424372
Name:DOSHI, NITINKUMAR (MD)
Entity type:Individual
Prefix:
First Name:NITINKUMAR
Middle Name:
Last Name:DOSHI
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 1:6919 N DALE MABRY HWY STE 250
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3860
Mailing Address - Country:US
Mailing Address - Phone:813-935-4210
Mailing Address - Fax:813-932-7940
Practice Address - Street 1:6919 N DALE MABRY HWY STE 210
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3972
Practice Address - Country:US
Practice Address - Phone:813-558-4900
Practice Address - Fax:813-558-2155
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11651220-1205207R00000X
TN61263207R00000X
VT42.0014984207R00000X
WY13082C207R00000X
WA61044640207R00000X
NC2020-00165207R00000X
MS28242207R00000X
VA0101240287207R00000X
AL39187207R00000X
AZ60578207R00000X
IL36.151781207R00000X
MIEMC0000175207R00000X
MN66835207R00000X
FLME1441462083P0011X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD418582000Medicaid
FL106585200Medicaid