Provider Demographics
NPI:1164863171
Name:DHERANGE, PARINITA ANIL (MD)
Entity Type:Individual
Prefix:DR
First Name:PARINITA
Middle Name:ANIL
Last Name:DHERANGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 N PASEO DE LOS RIOS APT NO9101
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-6051
Mailing Address - Country:US
Mailing Address - Phone:408-564-3230
Mailing Address - Fax:
Practice Address - Street 1:3300 N PASEO DE LOS RIOS APT NO9101
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6051
Practice Address - Country:US
Practice Address - Phone:408-564-3230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR74162207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine