MEDICARE: RATNA DHINGRA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME39745	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013911064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RATNA DHINGRA M.D.

Provider Business Mailing Address
First Line	:	5341 GRAND BLVD.
Second Line	:	SUITE # 108
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4333
Country	:	US
Telephone Number	:	727-849-2535
Fax Number	:	727-849-7157

Provider Business Practice Location Address
First Line	:	5341 GRAND BLVD
Second Line	:	SUITE # 108
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4011
Country	:	US
Telephone Number	:	727-849-2535
Fax Number	:	727-849-7157

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	10/14/2009

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