Mukhopadhyay, Dhriti

Mukhopadhyay, Dhriti is an individual health care provider with primary practice located at 167 N Main St , Tuba City AZ 86045-0600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mukhopadhyay, Dhriti can be contacted via phone (928) 283-2501.

Contact Information

Primary practice address
167 N Main St Tuba City AZ 86045-0600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X BP10037252 Texas

Profile Details

NPI number 1639490725
LBN Legal business name Mukhopadhyay, Dhriti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2010
Last updated Jul 1st, 2020 - about 6 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 1639490725 NPPES
Arizona MEDICAID 361795
Arizona Other 550121

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