Provider Demographics
NPI:1174951669
Name:DHARIA, BELA KIRIT (MN, APRN)
Entity type:Individual
Prefix:MRS
First Name:BELA
Middle Name:KIRIT
Last Name:DHARIA
Suffix:
Gender:F
Credentials:MN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 PROSPECT ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-2156
Mailing Address - Country:US
Mailing Address - Phone:203-836-1416
Mailing Address - Fax:
Practice Address - Street 1:55 LOCK STREET, YALE HEALTH
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-3603
Practice Address - Country:US
Practice Address - Phone:203-432-0206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12.005564363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT12.005564OtherADVANCED PRACTICE REGISTERED NURSE
CT10.109102OtherREGISTERED NURSE LICENSE
CTCSP.0056213OtherCONTROLLED SUBSTANCES REGISTRATION