Provider Demographics
NPI:1467478727
Name:DHAWAN, RAJNISH (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJNISH
Middle Name:
Last Name:DHAWAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1500 BREEZEPORT WAY STE 600
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3731
Mailing Address - Country:US
Mailing Address - Phone:757-528-8245
Mailing Address - Fax:757-367-8127
Practice Address - Street 1:1500 BREEZEPORT WAY STE 600
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-3731
Practice Address - Country:US
Practice Address - Phone:757-528-8245
Practice Address - Fax:757-394-1132
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237716208M00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist