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NPI Code Detail

MEDICARE: DR. DINESH MAINALI MD

MEDICARE: DR. DINESH MAINALI MD
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
1207R00000XInternal Medicine Physician241479MA
2207R00000XInternal Medicine PhysicianN7453TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972763738
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DINESH MAINALI MD
Provider Business Mailing Address
First Line : PO BOX 369
Second Line :
City : WESTFIELD
State : MA
Zip : 01086-0369
Country : US
Telephone Number : 413-509-1000
Fax Number :
Provider Business Practice Location Address
First Line : 1300 W TERRELL AVE STE K230
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3104
Country : US
Telephone Number : 817-250-4906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2008
Last Update Date : 07/18/2023

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