Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | D0089351 | MD |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD048112 | DC |
NPI | 1073991246 |
---|---|
Provider Name | Ronak Dixit |
First Address | Washington, DC 20010-2986 |
Second Address | Washington, DC 20010-2986 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2015 |
Last Update Date | 30/07/2020 |