Provider Demographics
NPI:1831189893
Name:NARENDRA DHARIA MD PA
Entity type:Organization
Organization Name:NARENDRA DHARIA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NARENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DHARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-909-1889
Mailing Address - Street 1:PO BOX 1394
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-1394
Mailing Address - Country:US
Mailing Address - Phone:407-909-1889
Mailing Address - Fax:407-909-1891
Practice Address - Street 1:1825 N MILLS AVE
Practice Address - Street 2:LAKESIDE SURGERY CENTER
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1853
Practice Address - Country:US
Practice Address - Phone:407-206-2375
Practice Address - Fax:407-206-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty