Individual
DINESH P KOIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6880
(989) 894-3077
(989) 894-6138
Mailing address
PO BOX 660857, DALLAS, TX 75266-0857
(855) 709-4498
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301039279
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184657611
—
MI
Enumeration date
07/08/2006
Last updated
04/17/2015
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