Suhas Joshi, MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME73086 Issued in FL

Legal business name

SUHAS JOSHI, MD PA

Practice address

14346 Big Spring St
Jacksonville, FL 32258-5167

Phone

(904) 708-2542

Fax

(904) 619-5228

NPI assigned

Dec 29, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Suhas Vishnu Joshi, MD

Title

Owner

Phone

(904) 708-2542

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1467721985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14346 BIG SPRING ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585167",
            "telephone_number": "904-708-2542",
            "fax_number": "904-619-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14346 BIG SPRING ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585167",
            "telephone_number": "904-708-2542",
            "fax_number": "904-619-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUHAS JOSHI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "SUHAS",
        "authorized_official_middle_name": "VISHNU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-708-2542",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME73086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.