Provider Demographics
NPI:1851883276
Name:DHAMEJA, NANDINI ASNANI (PA-C)
Entity type:Individual
Prefix:
First Name:NANDINI
Middle Name:ASNANI
Last Name:DHAMEJA
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:2488 E 81ST ST STE 482
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-4290
Mailing Address - Country:US
Mailing Address - Phone:539-525-0314
Mailing Address - Fax:539-867-2657
Practice Address - Street 1:1923 S UTICA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-6520
Practice Address - Country:US
Practice Address - Phone:918-744-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2024-09-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical