Provider Demographics
NPI:1679380646
Name:DHIMAL, KHINA M
Entity type:Individual
Prefix:
First Name:KHINA
Middle Name:M
Last Name:DHIMAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 CANDLEFIRE DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-5306
Mailing Address - Country:US
Mailing Address - Phone:540-300-9336
Mailing Address - Fax:
Practice Address - Street 1:3313 CANDLEFIRE DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-5306
Practice Address - Country:US
Practice Address - Phone:540-300-9336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide