Basic Information
| Provider Information | |||||||||
| NPI: | 1699119289 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DOSHI | ||||||||
| FirstName: | NEETI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1017 OLD MEETINGHOUSE WAY | ||||||||
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| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276151698 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 400 PARNASSUS AVE | ||||||||
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| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154766245 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2013 | ||||||||
| LastUpdateDate: | 02/16/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | A135497 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.