Provider Demographics
NPI:1225131220
Name:DASWANI, MURLI (MD)
Entity Type:Individual
Prefix:DR
First Name:MURLI
Middle Name:
Last Name:DASWANI
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:PO BOX 8028
Mailing Address - Street 2:711 SUGAR ESTATE RD STE 204
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801
Mailing Address - Country:US
Mailing Address - Phone:340-776-4677
Mailing Address - Fax:340-776-4677
Practice Address - Street 1:ABOVE 7-11 SUGAR ESTATE ROAD
Practice Address - Street 2:SUITE 204
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00801
Practice Address - Country:US
Practice Address - Phone:340-776-4677
Practice Address - Fax:340-776-4677
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI549207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G42933Medicare UPIN