Provider Demographics
NPI:1568418960
Name:HEMANI, DILSHAD RAJWANI (MD)
Entity Type:Individual
Prefix:DR
First Name:DILSHAD
Middle Name:RAJWANI
Last Name:HEMANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DILSHAD
Other - Middle Name:
Other - Last Name:RAJWANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10145 TANFIELD CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-5808
Mailing Address - Country:US
Mailing Address - Phone:410-750-3350
Mailing Address - Fax:410-750-3350
Practice Address - Street 1:7676 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-7512
Practice Address - Country:US
Practice Address - Phone:410-707-9012
Practice Address - Fax:301-244-5584
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD63179208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD410279700Medicaid
MD413046400Medicaid
MDBR5943899OtherDEA
MD489PS756Medicare PIN
MDS756Medicare PIN
MDH05180Medicare UPIN