Provider Demographics
NPI:1821141292
Name:DILWORTH-WHITE, DAWNA (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWNA
Middle Name:
Last Name:DILWORTH-WHITE
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 1:4302 SAINT BARNABAS RD
Mailing Address - Street 2:UNIT D
Mailing Address - City:MARLOW HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1842
Mailing Address - Country:US
Mailing Address - Phone:301-316-1206
Mailing Address - Fax:301-316-1209
Practice Address - Street 1:4302 SAINT BARNABAS RD
Practice Address - Street 2:UNIT D
Practice Address - City:MARLOW HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20748-1842
Practice Address - Country:US
Practice Address - Phone:301-316-1206
Practice Address - Fax:301-316-1209
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0054520207V00000X
DCMD31581207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G81747Medicare UPIN
010187D70Medicare ID - Type Unspecified