Provider Demographics
NPI:1053379016
Name:JOHARI, PIYUSH R (MD)
Entity type:Individual
Prefix:
First Name:PIYUSH
Middle Name:R
Last Name:JOHARI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:575 BEECH ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2223
Mailing Address - Country:US
Mailing Address - Phone:413-534-2697
Mailing Address - Fax:413-534-2724
Practice Address - Street 1:575 BEECH ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2223
Practice Address - Country:US
Practice Address - Phone:413-534-2697
Practice Address - Fax:413-534-2724
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2011-09-23
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Provider Licenses
StateLicense IDTaxonomies
MA2176012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry