Individual
NIVEDITA DHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18100 OAKWOOD BLVD, SUITE 300, DEARBORN, MI 48124-4085
(313) 271-0430
(313) 429-7941
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(313) 271-0430
(313) 429-7941
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35090181
OH
208800000X
Urology Physician
Primary
4301092348
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2744641
—
OH
Enumeration date
07/25/2007
Last updated
06/03/2019
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