Provider Demographics
NPI:1861615700
Name:DHRUVA, HETAL K (MD)
Entity type:Individual
Prefix:DR
First Name:HETAL
Middle Name:K
Last Name:DHRUVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 CEDARDAY DR.
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015
Mailing Address - Country:US
Mailing Address - Phone:410-569-3300
Mailing Address - Fax:
Practice Address - Street 1:2111 LAUREL BUSH ROAD
Practice Address - Street 2:SUITE H
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015
Practice Address - Country:US
Practice Address - Phone:410-569-3300
Practice Address - Fax:410-515-2027
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07652400208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics