Healthcare Provider Details

I. General information

NPI: 1033491642
Provider Name (Legal Business Name): BHAGIRATHBHAI RAVJIBHAI DHOLARIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 PIERCE AVE
NASHVILLE TN
37232
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-875-9731
  • Fax:
Mailing address:
  • Phone: 615-875-9731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME118506
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number57995
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: