Provider Demographics
NPI:1962490011
Name:DHAND, ARUN KUMAR (MD)
Entity Type:Individual
Prefix:
First Name:ARUN
Middle Name:KUMAR
Last Name:DHAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1893 N CLYDE MORRIS BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-5536
Mailing Address - Country:US
Mailing Address - Phone:386-675-6778
Mailing Address - Fax:386-675-6782
Practice Address - Street 1:1893 N CLYDE MORRIS BLVD STE 120
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-5536
Practice Address - Country:US
Practice Address - Phone:386-675-6778
Practice Address - Fax:386-675-6782
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 36188207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066461800Medicaid
FL1962490011OtherNPI
D58858Medicare UPIN
FL1962490011OtherNPI