Provider Demographics
NPI:1972120582
Name:DIALANI, NILESH PRAKASH (MD)
Entity Type:Individual
Prefix:DR
First Name:NILESH
Middle Name:PRAKASH
Last Name:DIALANI
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 1:21 HOSPITAL DR STE 260
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-2454
Mailing Address - Country:US
Mailing Address - Phone:386-586-1960
Mailing Address - Fax:386-586-1964
Practice Address - Street 1:21 HOSPITAL DR STE 260
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2454
Practice Address - Country:US
Practice Address - Phone:386-586-1960
Practice Address - Fax:386-586-1961
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program