Basic Information
Provider Information
NPI: 1023231057
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DHINGRA
FirstName: MEENAKSHI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2740 HERNDON AVE
Address2:  
City: CLOVIS
State: CA
PostalCode: 936116813
CountryCode: US
TelephoneNumber: 5592992608
FaxNumber: 5592991341
Practice Location
Address1: 2740 HERNDON AVE
Address2:  
City: CLOVIS
State: CA
PostalCode: 936116813
CountryCode: US
TelephoneNumber: 5592992608
FaxNumber: 5592991341
Other Information
ProviderEnumerationDate: 04/10/2007
LastUpdateDate: 02/24/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XRS2004-0272NMY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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