Provider Demographics
NPI:1568659464
Name:DAHIYA, RAVINDER (MD)
Entity Type:Individual
Prefix:
First Name:RAVINDER
Middle Name:
Last Name:DAHIYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WISCONSIN CIR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7003
Mailing Address - Country:US
Mailing Address - Phone:301-652-8882
Mailing Address - Fax:
Practice Address - Street 1:2 WISCONSIN CIR
Practice Address - Street 2:SUITE 220
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7003
Practice Address - Country:US
Practice Address - Phone:301-652-8882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061781207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0061781OtherSTATE LICENSE