Provider Demographics
NPI:1225430945
Name:KATRODIYA, DILIPKUMAR (RPH)
Entity type:Individual
Prefix:
First Name:DILIPKUMAR
Middle Name:
Last Name:KATRODIYA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18200 GEORGIA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1409
Mailing Address - Country:US
Mailing Address - Phone:240-744-3320
Mailing Address - Fax:240-744-3330
Practice Address - Street 1:18200 GEORGIA AVE STE A
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1409
Practice Address - Country:US
Practice Address - Phone:240-744-3320
Practice Address - Fax:240-744-3330
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0004214183500000X
MD20408183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist