Provider Demographics
NPI:1407392582
Name:DALAWARI MEDICAL SERVICES
Entity Type:Organization
Organization Name:DALAWARI MEDICAL SERVICES
Other - Org Name:DALAWARI CARDIOVASCULAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASDEEP
Authorized Official - Middle Name:S
Authorized Official - Last Name:DALAWARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-991-4109
Mailing Address - Street 1:1858 GREY OAKS PARK LN
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5798
Mailing Address - Country:US
Mailing Address - Phone:918-699-9525
Mailing Address - Fax:
Practice Address - Street 1:4870 SADLER RD STE 300
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-6294
Practice Address - Country:US
Practice Address - Phone:804-991-4109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty