Provider Demographics
NPI:1669340691
Name:DHAR, SUPRIYA
Entity type:Individual
Prefix:
First Name:SUPRIYA
Middle Name:
Last Name:DHAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7133 TIMBER RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-5512
Mailing Address - Country:US
Mailing Address - Phone:419-779-0254
Mailing Address - Fax:
Practice Address - Street 1:7133 TIMBER RIDGE CT
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-5512
Practice Address - Country:US
Practice Address - Phone:419-779-0254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-29
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant