Provider Demographics
NPI:1437916715
Name:POKHAREL, DUKA DEVI
Entity type:Individual
Prefix:
First Name:DUKA
Middle Name:DEVI
Last Name:POKHAREL
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 1:5477 DIANA LYNN DR
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-1648
Mailing Address - Country:US
Mailing Address - Phone:234-237-9877
Mailing Address - Fax:
Practice Address - Street 1:5477 DIANA LYNN DR
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1648
Practice Address - Country:US
Practice Address - Phone:234-237-9877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHVA776717374U00000X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide