Healthcare Provider Details

I. General information

NPI: 1578340089
Provider Name (Legal Business Name): DHRUVATI DHORAJIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 09/11/2023
Certification Date: 09/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 HUGUENOT RD
NORTH CHESTERFIELD VA
23235-4305
US

IV. Provider business mailing address

8272 ELSWICK LN
HENRICO VA
23294-4320
US

V. Phone/Fax

Practice location:
  • Phone: 804-330-3704
  • Fax:
Mailing address:
  • Phone: 321-272-1890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202221552
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: