Provider Demographics
NPI:1891517140
Name:DADWAL, DHIRAJ
Entity type:Individual
Prefix:
First Name:DHIRAJ
Middle Name:
Last Name:DADWAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16394 BAY BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-8725
Mailing Address - Country:US
Mailing Address - Phone:951-941-9583
Mailing Address - Fax:
Practice Address - Street 1:16394 BAY BROOK AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-8725
Practice Address - Country:US
Practice Address - Phone:951-941-9583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P4000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPatient Transport