MEDICARE: DR. SATISHCHANDRA V DHOLAKIA 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	208800000X	Urology Physician	ME101003	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	:	1942372073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SATISHCHANDRA V DHOLAKIA MD

Provider Business Mailing Address
First Line	:	4902 EISENHOWER BLVD.
Second Line	:	SUITE 300
City	:	TAMPA
State	:	FL
Zip	:	33634-6344
Country	:	US
Telephone Number	:	813-636-2000
Fax Number	:	813-321-1877

Provider Business Practice Location Address
First Line	:	1601 TIMERBLANE DR.
Second Line	:	SUITE 300
City	:	PLANT CITY
State	:	FL
Zip	:	33567-0957
Country	:	US
Telephone Number	:	813-708-1312
Fax Number	:	813-321-1877

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	07/08/2009

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