Provider Demographics
NPI:1376654095
Name:MARIPURI, DHANA L (MD)
Entity Type:Individual
Prefix:
First Name:DHANA
Middle Name:L
Last Name:MARIPURI
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 1:16411 SAPPHIRE BND
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3149
Mailing Address - Country:US
Mailing Address - Phone:305-575-7400
Mailing Address - Fax:
Practice Address - Street 1:16411 SAPPHIRE BND
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3149
Practice Address - Country:US
Practice Address - Phone:305-575-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME4569207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services