Provider Demographics
NPI:1356014542
Name:DASHORA, HIMANSHU RAJEEV
Entity Type:Individual
Prefix:
First Name:HIMANSHU
Middle Name:RAJEEV
Last Name:DASHORA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 E DERBYSHIRE RD APT UPPR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2712
Mailing Address - Country:US
Mailing Address - Phone:614-772-7181
Mailing Address - Fax:
Practice Address - Street 1:2925 E DERBYSHIRE RD APT UPPR
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2712
Practice Address - Country:US
Practice Address - Phone:614-772-7181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program