Provider Demographics
NPI:1578340089
Name:DHORAJIA, DHRUVATI
Entity Type:Individual
Prefix:
First Name:DHRUVATI
Middle Name:
Last Name:DHORAJIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8272 ELSWICK LN
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4320
Mailing Address - Country:US
Mailing Address - Phone:321-272-1890
Mailing Address - Fax:
Practice Address - Street 1:2015 HUGUENOT RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4305
Practice Address - Country:US
Practice Address - Phone:804-330-3704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202221552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist