Provider Demographics
NPI:1740695196
Name:DHAND, MENAKA KAUR (MD)
Entity type:Individual
Prefix:
First Name:MENAKA
Middle Name:KAUR
Last Name:DHAND
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 1:1111 W FAIRBANKS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4777
Mailing Address - Country:US
Mailing Address - Phone:407-635-5565
Mailing Address - Fax:321-842-4002
Practice Address - Street 1:1111 W FAIRBANKS AVE STE 200
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4777
Practice Address - Country:US
Practice Address - Phone:407-635-5565
Practice Address - Fax:321-842-4002
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA78436207R00000X
WAMD61004639207R00000X
FLME158333207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine