Vijay M Dhawan M.d. Inc | |
3420 W Beverly Blvd Montebello CA 90640-1539 | |
(213) 700-0390 | |
Not Available |
Full Name | Vijay M Dhawan M.d. Inc |
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Speciality | Internal Medicine |
Location | 3420 W Beverly Blvd, Montebello, California |
Authorized Official Name and Position | Vijay M Dhawan (PRESIDENT) |
Authorized Official Contact | 2137000390 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vijay M Dhawan M.d. Inc 3420 West Beverly Blvd Montebello CA 90640-1539 Ph: (213) 700-0390 | Vijay M Dhawan M.d. Inc 3420 W Beverly Blvd Montebello CA 90640-1539 Ph: (213) 700-0390 |
NPI Number | 1306859046 |
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Provider Enumeration Date | 08/14/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9931092558 |
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Medicare Enrollment ID | O20040205001303 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306859046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RA0000X | Internal Medicine - Adolescent Medicine | 20A8058 (California) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | A32299 (California) | Primary |
Provider Name | Kamlesh T Dhawan |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1821023540 PECOS PAC ID: 4183517709 Enrollment ID: I20060110000848 |
Provider Name | Rahul Dhawan |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1053613570 PECOS PAC ID: 3678743226 Enrollment ID: I20110908002285 |
Provider Name | Vijay M Dhawan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760426415 PECOS PAC ID: 5294628814 Enrollment ID: I20120130000422 |
Provider Name | Marie Grace E Miguel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528457793 PECOS PAC ID: 6103103700 Enrollment ID: I20170509001718 |
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