Provider Demographics
NPI:1245570944
Name:DHANA, MILENA (PA-C)
Entity type:Individual
Prefix:MS
First Name:MILENA
Middle Name:
Last Name:DHANA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5473
Mailing Address - Country:US
Mailing Address - Phone:845-471-3111
Mailing Address - Fax:845-432-7071
Practice Address - Street 1:2515 SOUTH RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5473
Practice Address - Country:US
Practice Address - Phone:845-471-3111
Practice Address - Fax:845-432-7071
Is Sole Proprietor?:No
Enumeration Date:2013-02-18
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA1649363A00000X
NY034303363A00000X
FLPA9107073363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1245570944Medicaid
NV1245570944Medicaid