Minakshi Dhalla, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

149507 Issued in NY

Practice address

165 E Burnside Ave
Bronx, NY 10453-4104

Phone

(718) 589-8324

Fax

(718) 378-2880

NPI assigned

Aug 15, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Commuity Development Corporation

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1821252743
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1376545814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732631",
            "telephone_number": "718-589-8324",
            "fax_number": "718-378-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534104",
            "telephone_number": "718-589-8324",
            "fax_number": "718-378-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALLA",
        "first_name": "MINAKSHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "149507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00665274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radhika J Dhaduk, PHARMD
• Rhea Dhakal
• Jagjote K Dhaliwal, DDS
• Navkiran Kaur Dhaliwal
• Supreet Dhaliwal, MD
• Sally Ivana Dhanai, PHARMD
• Jahanvi Dhanani
• Nitya Dhanaraj, MD
• Angeleta Dhandari-Donovan, D.P.M.
• Angelina Geetanjali Dhani Mohamed, MD

• Pediatrics Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.