Healthcare Provider Details

I. General information

NPI: 1710189741
Provider Name (Legal Business Name): HEMA DHOLAKIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEMA SIVADAS M.D.

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 FORDHAM RD
LIVINGSTON NJ
07039-5507
US

IV. Provider business mailing address

2 FORDHAM RD
LIVINGSTON NJ
07039-5507
US

V. Phone/Fax

Practice location:
  • Phone: 973-570-6803
  • Fax: 739-860-1187
Mailing address:
  • Phone: 973-570-6803
  • Fax: 973-860-1187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number231026
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number25MA07969700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: