Provider Demographics
NPI:1811093271
Name:DHADUK, NARENDRA V (MD MPH FAAN)
Entity type:Individual
Prefix:DR
First Name:NARENDRA
Middle Name:V
Last Name:DHADUK
Suffix:
Gender:M
Credentials:MD MPH FAAN
Other - Prefix:
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Mailing Address - Street 1:341 CUMBERLAND ST
Mailing Address - Street 2:2ND FLR
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042
Mailing Address - Country:US
Mailing Address - Phone:717-270-8944
Mailing Address - Fax:717-270-8948
Practice Address - Street 1:341 CUMBERLAND ST
Practice Address - Street 2:2ND FLR
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042
Practice Address - Country:US
Practice Address - Phone:717-270-8944
Practice Address - Fax:717-270-8948
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051604L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E89142Medicare UPIN
DH766492Medicare ID - Type Unspecified