Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 8084 | TN |
NPI | 1295717437 |
---|---|
Provider Name | Dr. Hamir Dharnidhar Contractor |
First Address | Cleveland, TN 37311-1563 |
Second Address | Athens, TN 37303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3633685 | (05) | TN |