Provider Demographics
NPI:1225654502
Name:DHAWAN, NEHA (DO)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:
Last Name:DHAWAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7219 CAPILANO DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5216
Mailing Address - Country:US
Mailing Address - Phone:330-687-3800
Mailing Address - Fax:
Practice Address - Street 1:AULTMAN MEDICAL GROUP
Practice Address - Street 2:2600 TUSCARAWAS ST. W
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708
Practice Address - Country:US
Practice Address - Phone:330-687-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT020369207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine