Provider Demographics
NPI:1760777361
Name:DAWAR, RICHA (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHA
Middle Name:
Last Name:DAWAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1192 E NEWPORT CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-7749
Mailing Address - Country:US
Mailing Address - Phone:954-571-0100
Mailing Address - Fax:954-571-0160
Practice Address - Street 1:1192 E NEWPORT CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7749
Practice Address - Country:US
Practice Address - Phone:954-571-0111
Practice Address - Fax:954-571-0160
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
FLME115762207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program