| Doshi Medical Center Llc | |
|
670 N Beers St Bldg 2, Suite 4 Holmdel NJ 07733-1526 | |
| (732) 588-0648 | |
| (732) 960-2378 |
| Full Name | Doshi Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 670 N Beers St, Holmdel, New Jersey |
| Authorized Official Name and Position | Pankaj Ajay Doshi (PRESIDENT/OWNER) |
| Authorized Official Contact | 7325880648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doshi Medical Center Llc Po Box 757 Holmdel NJ 07733-0757 Ph: (732) 588-0648 | Doshi Medical Center Llc 670 N Beers St Bldg 2, Suite 4 Holmdel NJ 07733-1526 Ph: (732) 588-0648 |
| NPI Number | 1760591390 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/18/2020 |
| Medicare PECOS PAC ID | 0446254031 |
|---|---|
| Medicare Enrollment ID | O20060913000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760591390 | NPI | - | NPPES |
| 0124907 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA07621800 (New Jersey) | Primary |
| Provider Name | Pankaj A Doshi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821029745 PECOS PAC ID: 5799789301 Enrollment ID: I20060912000481 |
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