Sumeesh Dhawan Mdpa

NPI #1740525443 in Southlake, Texas

Provider Information

NPI Number: 1740525443
Entity Type: Organization
Organization Name: Sumeesh Dhawan Mdpa
Primary Specialty: Internal Medicine
Enumeration Date: Dec 6, 2012
Last Updated: May 1, 2015

Practice Location

Address: 1211 DEL MAR DR
City: Southlake
State: Texas
ZIP Code: 76092-3932
Phone: (817) 350-4698

Authorized Official

Name: DR. SUMEESH DHAWAN, MD
Title: MEDICAL DIRECTOR
Phone: (817) 473-7197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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