Healthcare Provider Details

I. General information

NPI: 1770838757
Provider Name (Legal Business Name): NILESH DHIRUBHAI DANKHARA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2012
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 E 32ND ST
AUSTIN TX
78705-2703
US

IV. Provider business mailing address

155 HOSPITAL RD SUITE E
WINCHESTER TN
37398-2494
US

V. Phone/Fax

Practice location:
  • Phone: 512-482-8880
  • Fax:
Mailing address:
  • Phone: 931-962-0672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number53798
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number26092
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberV0259
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: