Provider Demographics
NPI:1225266398
Name:DHANANJAY, HARSHINI (DO)
Entity Type:Individual
Prefix:DR
First Name:HARSHINI
Middle Name:
Last Name:DHANANJAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:HARSHINI
Other - Middle Name:
Other - Last Name:DANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:6333 54TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-1703
Mailing Address - Country:US
Mailing Address - Phone:727-548-6100
Mailing Address - Fax:727-497-2322
Practice Address - Street 1:6333 54TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-1703
Practice Address - Country:US
Practice Address - Phone:727-548-6100
Practice Address - Fax:727-497-2322
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269047207L00000X
PAOS017165207LP2900X
FLOS15540207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102932140Medicaid
PA102932140Medicaid