Provider Demographics
NPI:1316994353
Name:JOSHI, ASMITA C (MD)
Entity type:Individual
Prefix:DR
First Name:ASMITA
Middle Name:C
Last Name:JOSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:115 BURFORD HOLW
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-3792
Mailing Address - Country:US
Mailing Address - Phone:470-875-1560
Mailing Address - Fax:470-781-2710
Practice Address - Street 1:3990 OLD MILTON PKWY STE 200
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4435
Practice Address - Country:US
Practice Address - Phone:470-875-1560
Practice Address - Fax:470-781-2710
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA050390207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA681298116EMedicaid
1942901269OtherGROUP NPI FOR APOLLO FAMILY MEDICINE
GA681298116DMedicaid
GA681298116FMedicaid
GA1609816123OtherGEORGIA CLINIC PC GROUP NPI #
GAGRP2768Medicare PIN