Provider Demographics
NPI:1922245042
Name:DHITAL, DIXA NEUPANE (MD)
Entity Type:Individual
Prefix:DR
First Name:DIXA
Middle Name:NEUPANE
Last Name:DHITAL
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 1:465 GYPSY LN
Mailing Address - Street 2:APT 211
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1361
Mailing Address - Country:US
Mailing Address - Phone:330-881-2852
Mailing Address - Fax:330-480-3777
Practice Address - Street 1:525 E MARKET ST STE 3-E
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1619
Practice Address - Country:US
Practice Address - Phone:330-379-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35097302207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine