Provider Demographics
NPI:1992409551
Name:DIKSHA
Entity type:Organization
Organization Name:DIKSHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAVSAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-774-0777
Mailing Address - Street 1:6310 STEVENS FOREST RD STE 110
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3209
Mailing Address - Country:US
Mailing Address - Phone:443-774-0777
Mailing Address - Fax:443-774-0888
Practice Address - Street 1:6310 STEVENS FOREST RD STE 110
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3209
Practice Address - Country:US
Practice Address - Phone:443-774-0777
Practice Address - Fax:443-774-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy