Provider Demographics
NPI:1174848071
Name:MISKIN, DHANASHRI PANDURANG (MD)
Entity Type:Individual
Prefix:
First Name:DHANASHRI
Middle Name:PANDURANG
Last Name:MISKIN
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 1:900 WALNUT ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5191
Mailing Address - Country:US
Mailing Address - Phone:215-955-6871
Mailing Address - Fax:215-503-2990
Practice Address - Street 1:900 WALNUT ST FL 2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5191
Practice Address - Country:US
Practice Address - Phone:215-955-6871
Practice Address - Fax:215-503-2990
Is Sole Proprietor?:No
Enumeration Date:2010-04-02
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4653742084N0400X
NY2741412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology