Provider Demographics
NPI:1588906283
Name:DHOKAL, PAWEN
Entity type:Individual
Prefix:DR
First Name:PAWEN
Middle Name:
Last Name:DHOKAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 10TH AVE
Mailing Address - Street 2:#209
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-6574
Mailing Address - Country:US
Mailing Address - Phone:619-261-7356
Mailing Address - Fax:
Practice Address - Street 1:707 10TH AVE
Practice Address - Street 2:#209
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-6574
Practice Address - Country:US
Practice Address - Phone:619-261-7356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor