Provider Demographics
NPI:1487456026
Name:JOSHI, AMRUTA RAJIV
Entity type:Individual
Prefix:
First Name:AMRUTA
Middle Name:RAJIV
Last Name:JOSHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 COTTONWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3677
Mailing Address - Country:US
Mailing Address - Phone:469-226-0280
Mailing Address - Fax:
Practice Address - Street 1:1 CHOCTAW WAY TALIHINA
Practice Address - Street 2:
Practice Address - City:TALIHINA
Practice Address - State:OK
Practice Address - Zip Code:74571-2022
Practice Address - Country:US
Practice Address - Phone:539-306-6029
Practice Address - Fax:918-567-4430
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program