Provider Demographics
NPI:1710189741
Name:DHOLAKIA, HEMA (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMA
Middle Name:
Last Name:DHOLAKIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HEMA
Other - Middle Name:
Other - Last Name:SIVADAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2 FORDHAM RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5507
Mailing Address - Country:US
Mailing Address - Phone:973-570-6803
Mailing Address - Fax:973-860-1187
Practice Address - Street 1:2 FORDHAM RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5507
Practice Address - Country:US
Practice Address - Phone:973-570-6803
Practice Address - Fax:739-860-1187
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231026174400000X
NJ25MA07969700207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty