Provider Demographics
NPI:1346276771
Name:DINOVA, NIGARA (RPH)
Entity Type:Individual
Prefix:MS
First Name:NIGARA
Middle Name:
Last Name:DINOVA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:NIGARA
Other - Middle Name:DINOVA
Other - Last Name:MOURADKHODJAEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13000 BRUCE B DOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-4745
Mailing Address - Country:US
Mailing Address - Phone:813-972-7519
Mailing Address - Fax:813-979-3661
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD
Practice Address - Street 2:JAMES A HALEY VA HOSPITAL
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4745
Practice Address - Country:US
Practice Address - Phone:813-972-7519
Practice Address - Fax:813-979-3661
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS33037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist