Provider Demographics
NPI:1578706495
Name:DEVANI, VRINDA DHRUVE (MD)
Entity Type:Individual
Prefix:MRS
First Name:VRINDA
Middle Name:DHRUVE
Last Name:DEVANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 MARATHON LN
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-0716
Mailing Address - Country:US
Mailing Address - Phone:804-651-6978
Mailing Address - Fax:
Practice Address - Street 1:208 MARATHON LN
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-0716
Practice Address - Country:US
Practice Address - Phone:804-651-6978
Practice Address - Fax:505-888-1398
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5170207V00000X
NMMD2013-0514207V00000X
NC2022-00819207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology