Individual
VIDISHA GHOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0185
(214) 857-0173
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0185
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
054566
GA
Other
Enumeration date
10/02/2006
Last updated
07/22/2016
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