Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Balaji Arun Jothishankar, MD/MBA

Individual provider Dermatology Physician · NPI 1619592417

Balaji Arun Jothishankar, MD/MBA is a Dermatology in Brockton, Massachusetts. Qualified in 2020, 6 years ago. Practices with Leominster Dermatology LLP, a 14-clinician group. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020

Practice location Address checks out

680 Centre St
Brockton, MA 02302-3308
Phone: (941) 545-1226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 1022618 (MA)

Record details

NPI number1619592417
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/MBA
Sole proprietorYes
NPI enumeratedJune 8, 2020
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Leominster Dermatology Llp — 14 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Brockton