Provider Demographics
NPI:1790077634
Name:DHADWAL, ANISH HS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANISH
Middle Name:HS
Last Name:DHADWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 MADEIRA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4552
Mailing Address - Country:US
Mailing Address - Phone:305-979-9695
Mailing Address - Fax:
Practice Address - Street 1:166 MADEIRA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4552
Practice Address - Country:US
Practice Address - Phone:305-979-9695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME121092207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine