Individual
DHANA SELVARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 343-0616
Mailing address
185 RYKOWSKI LN, SUITE 101, MIDDLETOWN, NY 10941-4055
(845) 692-0030
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
278344
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278344
LICENSE
NY
Enumeration date
08/24/2010
Last updated
12/21/2021
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