1558065102 NPI number — AKASH DHARMENDRABHAI DODIA M.B.B.S.

Table of content: AKASH DHARMENDRABHAI DODIA M.B.B.S. (NPI 1558065102)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558065102 NPI number — AKASH DHARMENDRABHAI DODIA M.B.B.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DODIA
Provider First Name:
AKASH
Provider Middle Name:
DHARMENDRABHAI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.B.B.S.
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:
1558065102
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3600 FORBES AVE STE 140
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15213-3410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 LOCUST ST STE 10517
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15219-5114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-232-4065
Provider Business Practice Location Address Fax Number:
412-232-5689
Provider Enumeration Date:
03/28/2023

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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