Dogra, Mridula
Dogra, Mridula is an sole proprietor health care provider with primary practice located at 4264 Kissena Blvd , Flushing NY 11355-3213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dogra, Mridula can be contacted via phone (718) 445-0455.Contact Information
Primary practice address
4264 Kissena Blvd
Flushing NY 11355-3213
Phone: (718) 445-0455
Fax: (718) 445-0456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 155101 | New York |
Profile Details
| NPI number | 1730157702 |
|---|---|
| LBN Legal business name | Dogra, Mridula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Feb 13th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730157702 | NPPES |
| New York | MEDICAID | 00834304 |
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