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NPI Code Detail

MEDICARE: SAYLEE SHIRISH DHAMDHERE M.D.

MEDICARE: SAYLEE SHIRISH DHAMDHERE 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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY
22081P0010XPediatric Rehabilitation Medicine PhysicianR6171TX

General Provider Information

NPI Number : 1831452937
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAYLEE SHIRISH DHAMDHERE M.D.
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390
Country : US
Telephone Number : 214-648-8826
Fax Number :
Provider Business Practice Location Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 214-867-6900
Fax Number : 214-867-5636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2012
Last Update Date : 10/18/2024

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