Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301086781 | MI |
N | 111NI0900X | Internist | 4301086781 | MI |
N | 207RI0011X | Interventional Cardiology | 4301086781 | MI |
Y | 207RI0011X | Interventional Cardiology | E-13697 | AR |
NPI | 1003856568 |
---|---|
Provider Name | Gaurav Dhar |
First Address | Lansing, MI 48910-2898 |
Second Address | Little Rock, AR 72205-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 12/02/2021 |