MEDICARE: MR. RAHUL KUMAR DHINGRA MD

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	207RC0000X	Cardiovascular Disease Physician	35054047	OH

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	:	1376544734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAHUL KUMAR DHINGRA MD

Provider Business Mailing Address
First Line	:	578 N LEAVITT RD
Second Line	:
City	:	AMHERST
State	:	OH
Zip	:	44001-1131
Country	:	US
Telephone Number	:	440-988-1009
Fax Number	:	440-988-1227

Provider Business Practice Location Address
First Line	:	1120 E BROAD ST
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-6306
Country	:	US
Telephone Number	:	440-366-2239
Fax Number	:	440-365-1366

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	08/01/2018

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