Provider Demographics
NPI:1427098615
Name:JOSHI, HIMANSHU BHASKAR (DO)
Entity type:Individual
Prefix:DR
First Name:HIMANSHU
Middle Name:BHASKAR
Last Name:JOSHI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25269
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-2003
Mailing Address - Country:US
Mailing Address - Phone:937-233-9000
Mailing Address - Fax:937-233-9452
Practice Address - Street 1:7391 BRANDT PIKE STE A
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3277
Practice Address - Country:US
Practice Address - Phone:937-233-9000
Practice Address - Fax:937-233-9452
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-006852J207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2882788Medicaid
OHP00176227OtherRR MCR INDIV
OH2180081Medicaid
OH4080943Medicare PIN
OHG91788Medicare UPIN
OH2180081Medicaid