Provider Demographics
NPI:1427169382
Name:DHAWAN, RAJNEE (MD)
Entity type:Individual
Prefix:
First Name:RAJNEE
Middle Name:
Last Name:DHAWAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 KING OF PRUSSIA RD
Mailing Address - Street 2:STE 120
Mailing Address - City:RADNOR
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4440
Mailing Address - Country:US
Mailing Address - Phone:610-688-8801
Mailing Address - Fax:610-688-6776
Practice Address - Street 1:320 KING OF PRUSSIA RD
Practice Address - Street 2:STE 120
Practice Address - City:RADNOR
Practice Address - State:PA
Practice Address - Zip Code:19087-4440
Practice Address - Country:US
Practice Address - Phone:610-688-8801
Practice Address - Fax:610-688-6776
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD069759L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0713469000OtherDEP BLUE CROSS
H10313Medicare UPIN
PA035409NNKMedicare ID - Type Unspecified