Provider Demographics
NPI:1427081231
Name:HEMANT T THAWANI MD PLLC
Entity type:Organization
Organization Name:HEMANT T THAWANI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEMANT
Authorized Official - Middle Name:T
Authorized Official - Last Name:THAWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-603-9391
Mailing Address - Street 1:5155 NORKO DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-3021
Mailing Address - Country:US
Mailing Address - Phone:810-230-7532
Mailing Address - Fax:810-230-7764
Practice Address - Street 1:9450 S SAGINAW RD
Practice Address - Street 2:SUITE G
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8206
Practice Address - Country:US
Practice Address - Phone:810-603-9391
Practice Address - Fax:810-603-9394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301053497207RE0101X
MI4301081450207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty