SHRUTI DOSI DPM NPI 1083110571

NPI Information

NPI: 1083110571
Provider Name: SHRUTI DOSI, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1307 S INTERNATIONAL PKWY STE 1061
LAKE MARY, FL
ZIP 32746
Phone: (407) 323-1234
Get Directions

Shruti Dosi, DPM is a foot and ankle surgery podiatrist in Lake Mary, FL with 6 years of experience. Shruti Dosi, DPM NPI is 1083110571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2018

The provider's business location address is:

1307 S INTERNATIONAL PKWY STE 1061
LAKE MARY, FL
ZIP 32746-412
Phone: (407) 323-1234

The NPI 1083110571 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/3/2018 and was last updated on 10/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		PO4146	FLORIDA	No
2	213EP0504X	Podiatrist	Public Medicine	PO4146	FLORIDA	No
3	213EP1101X	Podiatrist	Primary Podiatric Medicine	PO4146	FLORIDA	No
4	213ES0000X	Podiatrist	Sports Medicine	PO4146	FLORIDA	No
5	213ES0103X	Podiatrist	Foot & Ankle Surgery	213E00000X	GEORGIA	No
6	213ES0131X	Podiatrist	Foot Surgery	PO4146	FLORIDA	No
7	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO4146	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	15165159	OTHER		CAQH ID
2	114134200	MEDICAID	FLORIDA
3	PRLE4	OTHER	FLORIDA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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