Healthcare Provider Details

I. General information

NPI: 1013911064
Provider Name (Legal Business Name): RATNA DHINGRA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5341 GRAND BLVD SUITE # 108
NEW PORT RICHEY FL
34652-4011
US

IV. Provider business mailing address

5341 GRAND BLVD. SUITE # 108
NEW PORT RICHEY FL
34652-4333
US

V. Phone/Fax

Practice location:
  • Phone: 727-849-2535
  • Fax: 727-849-7157
Mailing address:
  • Phone: 727-849-2535
  • Fax: 727-849-7157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME39745
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: