Provider Demographics
NPI:1265675128
Name:GADH, RUCHIKA THAPAR (DO)
Entity Type:Individual
Prefix:DR
First Name:RUCHIKA
Middle Name:THAPAR
Last Name:GADH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3335 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2200
Mailing Address - Country:US
Mailing Address - Phone:954-965-4900
Mailing Address - Fax:954-515-1236
Practice Address - Street 1:201 NW 82ND AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-7808
Practice Address - Country:US
Practice Address - Phone:954-474-4401
Practice Address - Fax:954-474-9883
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10254207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS10254OtherMEDICAL LICENSE