Basic Information
Provider Information
NPI: 1770144222
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOSHI
FirstName: SHREYA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MBBS
OtherOrganizationName:  
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Mailing Information
Address1: 111 MICHIGAN AVE NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200102916
CountryCode: US
TelephoneNumber: 2024765000
FaxNumber:  
Practice Location
Address1: 111 MICHIGAN AVE NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200102916
CountryCode: US
TelephoneNumber: 2024765000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/25/2019
LastUpdateDate: 09/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 06/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD210002296DCN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0208XMD210002296DCY Allopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases

No ID Information.


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