Provider Demographics
NPI:1548343429
Name:DINKHA, NATALI (RPH)
Entity type:Individual
Prefix:MS
First Name:NATALI
Middle Name:
Last Name:DINKHA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3752 CHERRY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1034
Mailing Address - Country:US
Mailing Address - Phone:586-436-0604
Mailing Address - Fax:
Practice Address - Street 1:4401 CONNER ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48215-2201
Practice Address - Country:US
Practice Address - Phone:313-823-9897
Practice Address - Fax:313-823-9884
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302032634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist