Provider Demographics
NPI:1093770372
Name:DHAWER, VIRENDER (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRENDER
Middle Name:
Last Name:DHAWER
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 1:9652 MAYMONT DR
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3010
Mailing Address - Country:US
Mailing Address - Phone:703-272-3669
Mailing Address - Fax:
Practice Address - Street 1:9652 MAYMONT DR
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3010
Practice Address - Country:US
Practice Address - Phone:703-272-3669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1093770372207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC30279Medicare UPIN
PA106401Medicare PIN