Provider Demographics
NPI:1699728071
Name:DOSHI, LEENA NITIN (MD)
Entity type:Individual
Prefix:DR
First Name:LEENA
Middle Name:NITIN
Last Name:DOSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5013
Mailing Address - Country:US
Mailing Address - Phone:516-937-2233
Mailing Address - Fax:516-822-4167
Practice Address - Street 1:560 S BROADWAY
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5013
Practice Address - Country:US
Practice Address - Phone:516-937-2233
Practice Address - Fax:516-822-4167
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME864342085R0202X
NY1256162085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00916330Medicaid
NY00916330Medicaid
NY84286GMedicare PIN
NY67F391Medicare PIN
FLE38159Medicare UPIN