Provider Demographics
NPI:1932545506
Name:DHANDHA, VISHAL (MD)
Entity Type:Individual
Prefix:
First Name:VISHAL
Middle Name:
Last Name:DHANDHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:DEPT. OF SURGERY, BURNETT-WOMACK BLDG, CB#7050
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7050
Mailing Address - Country:US
Mailing Address - Phone:919-966-4653
Mailing Address - Fax:919-966-7841
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:DEPT. OF SURGERY, BURNETT-WOMACK BLDG, CB#7050
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7050
Practice Address - Country:US
Practice Address - Phone:919-966-4653
Practice Address - Fax:919-966-7841
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC192071390200000X
NC2017-00285207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program