Provider Demographics
NPI:1447451190
Name:JOSHI, KIRIT K (MD)
Entity type:Individual
Prefix:DR
First Name:KIRIT
Middle Name:K
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5626
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30604-5626
Mailing Address - Country:US
Mailing Address - Phone:706-227-4075
Mailing Address - Fax:706-227-4086
Practice Address - Street 1:700 OGLETHORPE AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2221
Practice Address - Country:US
Practice Address - Phone:706-227-4075
Practice Address - Fax:706-227-4086
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA016935207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA016935OtherGEORGIA LICENCE
GA00002333Medicare ID - Type Unspecified
GA016935OtherGEORGIA LICENCE