Provider Demographics
NPI:1225244031
Name:DHRUVA, TANVEE UDAY (MD)
Entity Type:Individual
Prefix:
First Name:TANVEE
Middle Name:UDAY
Last Name:DHRUVA
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 1:104 LEOMINSTER RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:MA
Mailing Address - Zip Code:01564-2114
Mailing Address - Country:US
Mailing Address - Phone:978-422-7774
Mailing Address - Fax:
Practice Address - Street 1:104 LEOMINSTER RD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:MA
Practice Address - Zip Code:01564-2114
Practice Address - Country:US
Practice Address - Phone:978-422-7774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57010948207Q00000X
MA235315207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine