Provider Demographics
NPI:1174517619
Name:JOSHI, RAKSHA (MD)
Entity type:Individual
Prefix:DR
First Name:RAKSHA
Middle Name:
Last Name:JOSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LUCIA CT
Mailing Address - Street 2:THE CROSSING AT ABERDEEN
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1372
Mailing Address - Country:US
Mailing Address - Phone:732-213-6819
Mailing Address - Fax:732-441-7474
Practice Address - Street 1:270 BROADWAY
Practice Address - Street 2:LONG BRANCH
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-7027
Practice Address - Country:US
Practice Address - Phone:732-923-7146
Practice Address - Fax:732-923-7129
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 062909207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7795106Medicaid
NJG86319Medicare UPIN
NJ023384Medicare ID - Type UnspecifiedMEDICARE NUMBER