Provider Demographics
NPI:1720123268
Name:DOSHI, ABHAY N
Entity type:Individual
Prefix:DR
First Name:ABHAY
Middle Name:N
Last Name:DOSHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:A
Other - Middle Name:
Other - Last Name:DOSHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DENTAL CORP
Mailing Address - Street 1:PO BOX 5597
Mailing Address - Street 2:A DOSHI DENTAL CORP DBA HIGH SIERRA DENTAL
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93755
Mailing Address - Country:US
Mailing Address - Phone:559-224-3110
Mailing Address - Fax:559-227-7752
Practice Address - Street 1:4820 N FIRST ST
Practice Address - Street 2:# 105 A DOSHI DENTAL CORP DBA HIGH SIERRA DENTAL
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726
Practice Address - Country:US
Practice Address - Phone:559-224-3110
Practice Address - Fax:559-227-7752
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41602122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA523305OtherPIN
CAG9387401OtherDENTI CAL