Dhanwada, Vijaya L.

Dhanwada, Vijaya L. is an individual health care provider with primary practice located at 2231 Nw 108Th St , Des Moines IA 50325-3729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Dhanwada, Vijaya L. can be contacted via phone (515) 334-7524.

Contact Information

Primary practice address
2231 Nw 108Th St Des Moines IA 50325-3729
Fax: (515) 334-7528
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 26181 Iowa

Profile Details

NPI number 1528171576
LBN Legal business name Dhanwada, Vijaya L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528171576 NPPES
Iowa Other 39054 WELLMARK BC/BS
Iowa MEDICAID 1044602 WELLMARK BC/BS

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