Provider Demographics
NPI:1851502298
Name:RAJAN R JOSHI PSC
Entity type:Organization
Organization Name:RAJAN R JOSHI PSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-623-8981
Mailing Address - Street 1:2019 CORPORATE DR
Mailing Address - Street 2:TOTAL LUNG CARE AND SLEEP CENTER
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8884
Mailing Address - Country:US
Mailing Address - Phone:859-623-8981
Mailing Address - Fax:859-624-3146
Practice Address - Street 1:2019 CORPORATE DR
Practice Address - Street 2:TOTAL LUNG CARE AND SLEEP CENTER
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8884
Practice Address - Country:US
Practice Address - Phone:859-623-8981
Practice Address - Fax:859-624-3146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCB6733OtherMEDICARE RAILROAD
KYM300039730Medicare PIN
KYCB6733OtherMEDICARE RAILROAD