Individual
DR. LAXMICHAND DEDHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 SANDHILL DR, STE 101, MIDDLETOWN, DE 19709-5805
(302) 378-4779
(302) 378-4789
Mailing address
114 SANDHILL DR, STE 101, MIDDLETOWN, DE 19709-5805
(302) 378-4779
(302) 378-4789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10004403
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000587501
—
DE
01
—
C10004403
DE STATE LICENCE NO.
DE
Enumeration date
01/12/2006
Last updated
07/10/2015
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