Provider Demographics
NPI:1528323094
Name:DAWANI, PARMANAND (MD)
Entity type:Individual
Prefix:DR
First Name:PARMANAND
Middle Name:
Last Name:DAWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MULLINS
Mailing Address - State:SC
Mailing Address - Zip Code:29574-3120
Mailing Address - Country:US
Mailing Address - Phone:843-464-8750
Mailing Address - Fax:843-464-0938
Practice Address - Street 1:230 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MULLINS
Practice Address - State:SC
Practice Address - Zip Code:29574-3120
Practice Address - Country:US
Practice Address - Phone:843-464-8750
Practice Address - Fax:843-464-0938
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8145207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine