Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301089648 | MI |
N | 111NI0900X | Internist | 4301089648 | MI |
N | 207SG0201X | Clinical Genetics (M.D.) | 52192 | MN |
Y | 207SG0201X | Clinical Genetics (M.D.) | 52459 | AZ |
N | 208000000X | Pediatrician | 4301089648 | MI |
N | 2084N0400X | Neurologist | 104438 | MN |
N | 2084N0402X | Child Neurologist | 0101255365 | VA |
N | 2084N0402X | Child Neurologist | 52192 | MN |
N | 2084N0402X | Child Neurologist | 52459 | AZ |
N | 2084N0402X | Child Neurologist | ME134097 | FL |
NPI | 1598967291 |
---|---|
Provider Name | Radhika Dhamija |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 08/09/2020 |