Provider Demographics
NPI:1891013926
Name:JOSHI, KAUSHIK A (RPT)
Entity type:Individual
Prefix:MR
First Name:KAUSHIK
Middle Name:A
Last Name:JOSHI
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37824 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-1840
Mailing Address - Country:US
Mailing Address - Phone:269-589-9659
Mailing Address - Fax:586-314-0181
Practice Address - Street 1:37824 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-1840
Practice Address - Country:US
Practice Address - Phone:269-589-9659
Practice Address - Fax:586-314-0181
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501015015225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501015015OtherSTATE OF MI