Provider Demographics
NPI:1861989600
Name:HOSKERE, DHANUSH (DO)
Entity type:Individual
Prefix:DR
First Name:DHANUSH
Middle Name:
Last Name:HOSKERE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 N CHARLES ST STE 412
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-5803
Mailing Address - Country:US
Mailing Address - Phone:443-849-3400
Mailing Address - Fax:443-849-3402
Practice Address - Street 1:6565 N CHARLES ST STE 412
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-5803
Practice Address - Country:US
Practice Address - Phone:443-849-3400
Practice Address - Fax:443-849-3402
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0100924207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD557063800Medicaid