Provider Demographics
NPI:1710985593
Name:DHRUV, NIKHITA (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKHITA
Middle Name:
Last Name:DHRUV
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 1:2290 W EAU GALLIE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-3133
Mailing Address - Country:US
Mailing Address - Phone:321-309-9000
Mailing Address - Fax:321-309-9002
Practice Address - Street 1:2290 W EAU GALLIE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-3133
Practice Address - Country:US
Practice Address - Phone:321-309-9000
Practice Address - Fax:321-309-9002
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73417207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252535600Medicaid
FL252535600Medicaid
41418ZMedicare PIN