Mary Dhand, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD021505E Issued in PA

Practice address

3300 Henry Ave
One Falls Center
Phila, PA 19129-1121

Phone

(215) 842-7415

Fax

(215) 848-1355

NPI assigned

Dec 15, 2005

Last updated

Jul 26, 2011By the provider in NPPES

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 5

Other names 1

• Mary Frances Gavula Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Falls Pediatric & Teen Care, LLP

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1356583256
  NPD (past) Authorized official

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1902882541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191291121",
            "telephone_number": "215-842-7415",
            "fax_number": "215-848-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE",
            "address_2": "ONE FALLS CENTER",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191291121",
            "telephone_number": "215-842-7415",
            "fax_number": "215-848-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAND",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD021505E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5839038",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9799707",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001613919",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0161391904",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "431154",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GAVULA",
            "middle_name": "FRANCES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Demarino Chiropractic Center
• James John Demarino, DC
• Ralph J Demarino, DC
• Renee Dempsey, DMD
• William J Dennis, MD
• Amy Diehl, MSPT
• Digiulio Physical Therapy & Wellness, LLC
• Catherine Dillon
• Dimarino-Kroop-Prieto Gastrointestinal Associates PA
• Anthony J. Dimarino Jr., M.D.

• Pediatrics Physician in Phila, PA
• Providers in Phila, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.