Provider Demographics
NPI:1285948265
Name:JOSHI, MALAV (MD)
Entity type:Individual
Prefix:
First Name:MALAV
Middle Name:
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 1:5036 LINDERA CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-6019
Mailing Address - Country:US
Mailing Address - Phone:330-354-2368
Mailing Address - Fax:
Practice Address - Street 1:200 1ST ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905-0001
Practice Address - Country:US
Practice Address - Phone:507-284-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2014-00465207W00000X
MN59160207W00000X
SC82140207WX0107X
VT042.001633207WX0107X
WI1141-320207WX0107X
VA0101256078207WX0107X
NV19581207WX0107X
GA79776207WX0107X
AZ55690207WX0107X
KS04-44241207WX0107X
MIEMC000762207WX0107X
MS27347207WX0107X
NE35054207WX0107X
OH57-017669390200000X
MDD83527207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program