Provider Demographics
NPI:1245984962
Name:DOSHI, DIXITA PRADEEP I
Entity type:Individual
Prefix:MRS
First Name:DIXITA
Middle Name:PRADEEP
Last Name:DOSHI
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8618 NE 201ST PL
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-2280
Mailing Address - Country:US
Mailing Address - Phone:917-825-7501
Mailing Address - Fax:
Practice Address - Street 1:12806 BOTHELL EVERETT HWY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-6692
Practice Address - Country:US
Practice Address - Phone:425-338-3227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60479200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist