Provider Demographics
NPI:1962727248
Name:DHOLAKIA, DINKAR (PA-C)
Entity type:Individual
Prefix:
First Name:DINKAR
Middle Name:
Last Name:DHOLAKIA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 TOUCH OF GOLD DR
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2364
Mailing Address - Country:US
Mailing Address - Phone:443-939-7185
Mailing Address - Fax:
Practice Address - Street 1:500 UPPER CHESAPEAKE DRIVE
Practice Address - Street 2:UPPER CHESAPEAKE MEDICAL CENTER
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014
Practice Address - Country:US
Practice Address - Phone:443-643-3942
Practice Address - Fax:443-643-3946
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0004160363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical