| Doctor Name: | DHARTI VAGHELA |
| NPI Number: | 1598129272 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | P99746 |
| Business Practice Address: | 1265 Fulton Ave Bronx, NY - 104563401 |
| Business Phone Number: | 7185797000 |
| Business Fax Number: | 7185775835 |
| Mailing Address: | 3198 Grand Concourse, BRONX |
| State: | NY |
| Postal Code: | 104581000 |
| Phone Number: | 7186180401 |
| Fax Number: | 7187954394 |
| NPI Enumeration Date: | 04/08/2016 |
| NPI Last Update Date: | 04/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | P99746 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |