Provider Demographics
NPI:1912900200
Name:DHIR, ANIR (MD)
Entity Type:Individual
Prefix:
First Name:ANIR
Middle Name:
Last Name:DHIR
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 1:7530 N ORACLE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4450
Mailing Address - Country:US
Mailing Address - Phone:520-612-7722
Mailing Address - Fax:520-612-7797
Practice Address - Street 1:7530 N ORACLE RD STE 102
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4450
Practice Address - Country:US
Practice Address - Phone:520-612-7722
Practice Address - Fax:520-612-7797
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ52539207N00000X, 207NS0135X, 207ND0101X
KY34879207N00000X, 207ND0101X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000064992OtherANTHEM
0300106OtherUNITED HEALTHCARE
C03025OtherCUMBERLAND HEALTHCARE
000000064992OtherANTHEM
KY070013053Medicare PIN