Provider Demographics
NPI:1619542883
Name:ASWANI DARABOINA MD PLLC
Entity Type:Organization
Organization Name:ASWANI DARABOINA MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASWANI
Authorized Official - Middle Name:
Authorized Official - Last Name:DARABOINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-581-1770
Mailing Address - Street 1:6300 STONEWOOD DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5281
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6300 STONEWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5281
Practice Address - Country:US
Practice Address - Phone:214-666-6259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty