Mirchandani, Dipti Ram
Mirchandani, Dipti Ram is an individual health care provider with primary practice located at 30 Prospect Ave , Hackensack NJ 07601-1915. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mirchandani, Dipti Ram can be contacted via phone (551) 996-5322.Contact Information
Primary practice address
30 Prospect Ave
Hackensack NJ 07601-1915
Phone: (551) 996-5322
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA11913400 | New Jersey |
Profile Details
NPI number | 1497041081 |
---|---|
LBN Legal business name | Mirchandani, Dipti Ram |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2011 |
Last updated | Feb 1st, 2024 - about last year |
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 | 1497041081 | NPPES |
Other | 1497041081 | NPI |
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