Provider Demographics
NPI:1427788496
Name:DHOLAKIA, AMAR
Entity type:Individual
Prefix:
First Name:AMAR
Middle Name:
Last Name:DHOLAKIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 TANFORAN AVE
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-5556
Mailing Address - Country:US
Mailing Address - Phone:714-625-9894
Mailing Address - Fax:
Practice Address - Street 1:2030 TANFORAN AVE
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-5556
Practice Address - Country:US
Practice Address - Phone:714-625-9894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-13
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care