Provider Demographics
NPI:1164045498
Name:DHARAMSHI, NAWAZ
Entity Type:Individual
Prefix:
First Name:NAWAZ
Middle Name:
Last Name:DHARAMSHI
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 1:42 INGLEBOROUGH COURT
Mailing Address - Street 2:
Mailing Address - City:MARKHAM
Mailing Address - State:ON
Mailing Address - Zip Code:L3R 8M5
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:42 INGLEBOROUGH COURT
Practice Address - Street 2:
Practice Address - City:MARKHAM
Practice Address - State:ON
Practice Address - Zip Code:L3R 8M5
Practice Address - Country:CA
Practice Address - Phone:647-238-1855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN194411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice