Provider Demographics
NPI:1083301337
Name:KALAWADIA, DHRUV DHIREN (MBBS)
Entity Type:Individual
Prefix:MR
First Name:DHRUV
Middle Name:DHIREN
Last Name:KALAWADIA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79-01 BROADWAY, ELMHURST HOSPITAL CENTRE
Mailing Address - Street 2:ROOM #A-34, PEDIATRIC DEPARTMENT
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-334-2156
Mailing Address - Fax:
Practice Address - Street 1:79-01 BROADWAY, ELMHURST HOSPITAL CENTRE
Practice Address - Street 2:ROOM #A-34, PEDIATRIC DEPARTMENT
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-334-2156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program