Provider Demographics
NPI:1013911064
Name:DHINGRA, RATNA (MD)
Entity Type:Individual
Prefix:
First Name:RATNA
Middle Name:
Last Name:DHINGRA
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 1:5341 GRAND BLVD.
Mailing Address - Street 2:SUITE # 108
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4333
Mailing Address - Country:US
Mailing Address - Phone:727-849-2535
Mailing Address - Fax:727-849-7157
Practice Address - Street 1:5341 GRAND BLVD
Practice Address - Street 2:SUITE # 108
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4011
Practice Address - Country:US
Practice Address - Phone:727-849-2535
Practice Address - Fax:727-849-7157
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39745208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066682300Medicaid
FL066682300Medicaid