Provider Demographics
NPI:1760175509
Name:DHIMAL, KHAGINDRA
Entity Type:Individual
Prefix:
First Name:KHAGINDRA
Middle Name:
Last Name:DHIMAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 HEDGEROW ST
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-7153
Mailing Address - Country:US
Mailing Address - Phone:614-254-0489
Mailing Address - Fax:
Practice Address - Street 1:755 HEDGEROW ST
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-7153
Practice Address - Country:US
Practice Address - Phone:614-254-0489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health