Provider Demographics
NPI:1366963100
Name:DHORE, ANEESH SHRIHARI (MD)
Entity type:Individual
Prefix:
First Name:ANEESH SHRIHARI
Middle Name:
Last Name:DHORE
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:ANEESH
Other - Middle Name:SHRIHARI
Other - Last Name:DHOREPATIL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MBBS
Mailing Address - Street 1:1340 W GRAY ST APT 353
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4064
Mailing Address - Country:US
Mailing Address - Phone:507-990-7234
Mailing Address - Fax:
Practice Address - Street 1:1000 BLYTHE BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5812
Practice Address - Country:US
Practice Address - Phone:704-355-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-02
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.030096207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine