MEDICARE: GITA DHIR PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT3806	HI
2	225100000X	Physical Therapist	2305005873	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00460783	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	9000071	OTHER	VA	AETNA
3	192967	OTHER	VA	BCBS (PHYSICAL THERAPY)

General Provider Information

NPI Number	:	1497949507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GITA DHIR PT

Provider Business Mailing Address
First Line	:	95-199 HOAHELE PL
Second Line	:
City	:	MILILANI
State	:	HI
Zip	:	96789-5544
Country	:	US
Telephone Number	:	808-674-0500
Fax Number	:	808-674-0511

Provider Business Practice Location Address
First Line	:	99-128 AIEA HEIGHTS DR STE 207
Second Line	:
City	:	AIEA
State	:	HI
Zip	:	96701-3968
Country	:	US
Telephone Number	:	808-487-0487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2007
Last Update Date	:	03/22/2018

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Directions to “ GITA DHIR PT” Practice Location

Language	Start Address	Practice Location

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