Provider Demographics
NPI:1962587006
Name:JOSHI, KAJAL ASHOK (DC)
Entity type:Individual
Prefix:
First Name:KAJAL
Middle Name:ASHOK
Last Name:JOSHI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-6233
Mailing Address - Country:US
Mailing Address - Phone:412-751-3333
Mailing Address - Fax:412-751-3333
Practice Address - Street 1:4600 WALNUT ST
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-6233
Practice Address - Country:US
Practice Address - Phone:412-751-3333
Practice Address - Fax:412-751-3333
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007287-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01844747Medicaid
PA01844747Medicaid
PAU72178Medicare UPIN