Provider Demographics
NPI:1487817722
Name:DHOLAKIA, RASHESHKUMAR (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RASHESHKUMAR
Middle Name:
Last Name:DHOLAKIA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 MAITLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-6862
Mailing Address - Country:US
Mailing Address - Phone:407-675-3220
Mailing Address - Fax:407-675-3216
Practice Address - Street 1:668 MAITLAND AVE
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-6862
Practice Address - Country:US
Practice Address - Phone:407-675-3220
Practice Address - Fax:407-675-3216
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1266192084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028632850002Medicaid
PA1028632850001Medicaid
PA1028632850002Medicaid