Provider Demographics
NPI:1790364818
Name:DOSHI, DHARA (DPM)
Entity Type:Individual
Prefix:
First Name:DHARA
Middle Name:
Last Name:DOSHI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8043 269TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1523
Mailing Address - Country:US
Mailing Address - Phone:516-439-6310
Mailing Address - Fax:
Practice Address - Street 1:8043 269TH ST
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1523
Practice Address - Country:US
Practice Address - Phone:516-439-6310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program