Provider Demographics
NPI:1447699855
Name:DHAND, NIYATI (MD)
Entity type:Individual
Prefix:DR
First Name:NIYATI
Middle Name:
Last Name:DHAND
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 1:5841 SOUTH MARYLAND AVE
Mailing Address - Street 2:MC3077
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637
Mailing Address - Country:US
Mailing Address - Phone:773-702-0529
Mailing Address - Fax:773-702-4297
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:MC3077
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-0529
Practice Address - Fax:773-702-4297
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1250633952084P0800X
IL0361467362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry