Provider Demographics
NPI:1891587135
Name:DHIRAWANI, ADITYA (MDS)
Entity type:Individual
Prefix:MR
First Name:ADITYA
Middle Name:
Last Name:DHIRAWANI
Suffix:
Gender:M
Credentials:MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WILLIS KNIGHTON HEALTH OMFS ATTN: VALORIE LURRY
Mailing Address - Street 2:2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 403
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:WILLIS KNIGHTON HEALTH OMFS ATTN: VALORIE LURRY
Practice Address - Street 2:2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 403
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71118
Practice Address - Country:US
Practice Address - Phone:318-212-5259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program