Individual
MITUL RAJENDRA DADHANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5150 SANDY LN, FAIRFIELD, OH 45014-2738
(513) 896-9595
(513) 896-4171
Mailing address
5150 SANDY LN, FAIRFIELD, OH 45014-2738
(513) 896-9595
(513) 896-4171
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35126380
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
04/23/2019
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