Provider Demographics
NPI:1437915766
Name:DHARMALINGAM, EZHILARASI (NP)
Entity Type:Individual
Prefix:
First Name:EZHILARASI
Middle Name:
Last Name:DHARMALINGAM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16428 S PARKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3704
Mailing Address - Country:US
Mailing Address - Phone:707-596-8829
Mailing Address - Fax:
Practice Address - Street 1:16428 S PARKWOOD ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3704
Practice Address - Country:US
Practice Address - Phone:707-596-8829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1234567363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily