Provider Demographics
NPI:1336343417
Name:ROYALTY, DIMPLE AMIN (MD)
Entity type:Individual
Prefix:DR
First Name:DIMPLE
Middle Name:AMIN
Last Name:ROYALTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DIMPLE
Other - Middle Name:THAKOR
Other - Last Name:AMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3276
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47731-3276
Mailing Address - Country:US
Mailing Address - Phone:812-473-0181
Mailing Address - Fax:812-473-5822
Practice Address - Street 1:21 SE 3RD ST
Practice Address - Street 2:SUITE 500
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1412
Practice Address - Country:US
Practice Address - Phone:812-473-0181
Practice Address - Fax:812-473-5822
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01068825A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01490834OtherRAILROAD MEDICARE
IN200999860Medicaid
P01490834OtherRAILROAD MEDICARE