Provider Demographics
NPI:1407429061
Name:DHANI MOHAMED, ANGELINA GEETANJALI (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELINA
Middle Name:GEETANJALI
Last Name:DHANI MOHAMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANGELINA
Other - Middle Name:GEETANJALI
Other - Last Name:DHANI MOHAMED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4422 3RD AVE BLDG 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-2545
Mailing Address - Country:US
Mailing Address - Phone:718-960-6202
Mailing Address - Fax:
Practice Address - Street 1:4422 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2545
Practice Address - Country:US
Practice Address - Phone:718-960-6202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program