Healthcare Provider Details

I. General information

NPI: 1477474096
Provider Name (Legal Business Name): PABITRA MAYA DHIMAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 LEATHERLEAF WAY PATASKALA OHIO
PATASKALA OH
43062
US

IV. Provider business mailing address

203 LEATHERLEAF WAY PATASKALA OHIO
PATASKALA OH
43062
US

V. Phone/Fax

Practice location:
  • Phone: 614-599-1481
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number402248740220
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: