1366369373 NPI number — MAYANKKUMAR DINESHBHAI DHAKECHA M.D.

Table of content: MAYANKKUMAR DINESHBHAI DHAKECHA M.D. (NPI 1366369373)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366369373 NPI number — MAYANKKUMAR DINESHBHAI DHAKECHA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DHAKECHA
Provider First Name:
MAYANKKUMAR
Provider Middle Name:
DINESHBHAI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366369373
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/01/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4201 ST. ANTOINE, UHC 9C DETROIT MEDICAL CENTER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DETROIT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-745-5146
Provider Business Mailing Address Fax Number:
313-966-0880

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4201 ST. ANTOINE, UHC 9C DETROIT MEDICAL CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-745-5146
Provider Business Practice Location Address Fax Number:
313-966-0880
Provider Enumeration Date:
07/01/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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