MEDICARE: MENAKA KAUR DHAND M.D.

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	207R00000X	Internal Medicine Physician	78436	GA
2	207R00000X	Internal Medicine Physician	MD61004639	WA
3	207R00000X	Internal Medicine Physician	ME158333	FL

General Provider Information

NPI Number	:	1740695196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MENAKA KAUR DHAND M.D.

Provider Business Mailing Address
First Line	:	1111 W FAIRBANKS AVE STE 200
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4777
Country	:	US
Telephone Number	:	407-635-5565
Fax Number	:	321-842-4002

Provider Business Practice Location Address
First Line	:	1111 W FAIRBANKS AVE STE 200
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4777
Country	:	US
Telephone Number	:	407-635-5565
Fax Number	:	321-842-4002

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

Provider Enumeration Date	:	06/24/2014
Last Update Date	:	12/13/2022

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Directions to “ MENAKA KAUR DHAND M.D.” Practice Location

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