Individual provider · NPI-1

Shivanu Dhawan, MD

Hospitalist · Mineola, NY

NPI number1003312679
StatusActive
Last updated in NPPESNov 22, 2024

Details

NPI
1003312679
Entity type
Individual (NPI-1)
Name
Shivanu Dhawan
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 3, 2018
Certification date
Nov 22, 2024
Last updated
Nov 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist327582NYYes
207R00000X Internal Medicine327582NY

Practice location

259 1st St Rm 291
Mineola, NY 11501-3957

Phone 516-663-8963 · Fax 516-663-8964

Mailing address

14 Wall St Fl 9
New York, NY 10005-2178

Phone 646-501-3224

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