Provider Demographics
NPI:1528336468
Name:DOSHI, DIPA (RPH)
Entity type:Individual
Prefix:MS
First Name:DIPA
Middle Name:
Last Name:DOSHI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 DELANO
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2462
Mailing Address - Country:US
Mailing Address - Phone:949-275-1813
Mailing Address - Fax:
Practice Address - Street 1:23 DELANO
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-2462
Practice Address - Country:US
Practice Address - Phone:949-275-1813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49983183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist