Organization Active NPI

Sharda J. Doshi, M.D.PA

  • Pediatrics Physician
  • Beaumont, TX
National Provider Identifier
1912189747
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G0692 Issued in TX
Legal business name
SHARDA J. DOSHI, M.D.PA
Practice address
2929 Calder Ave
Suite 300
Beaumont, TX 77702-1845
Phone
(409) 833-8850
Fax
(409) 833-2829
NPI assigned
Dec 4, 2007
Last updated
Dec 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Sharda Jitendra Doshi, M.D.
Title
President
Phone
(409) 833-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G0692 TX Primary

Addresses

Primary practice location

2929 Calder Ave
Suite 300
Beaumont, TX 77702-1845

Mailing address

2929 Calder Ave
Suite 300
Beaumont, TX 77702-1845
Phone (409) 833-8850

Other identifiers 2

IdentifierTypeStateIssuer
00B17YOtherTXBLUE CROSS BLUE SHIELD
132971602MedicaidTX

National Provider Directory

National Provider Directory

Locations

2929 Calder St
Ste 300
Beaumont, TX 77702
Phone (409) 833-8850

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1912189747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALDER AVE",
            "address_2": "SUITE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021845",
            "telephone_number": "409-833-8850",
            "fax_number": "409-833-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CALDER AVE",
            "address_2": "SUITE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021845",
            "telephone_number": "409-833-8850",
            "fax_number": "409-833-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARDA J. DOSHI, M.D.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "DOSHI",
        "authorized_official_first_name": "SHARDA",
        "authorized_official_middle_name": "JITENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-833-8850",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G0692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00B17Y",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132971602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.