Provider Demographics
NPI:1972821445
Name:DHAWAN, ANKIT (PHARAMACIST)
Entity Type:Individual
Prefix:MR
First Name:ANKIT
Middle Name:
Last Name:DHAWAN
Suffix:
Gender:M
Credentials:PHARAMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 ALEX WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-7631
Mailing Address - Country:US
Mailing Address - Phone:706-413-3833
Mailing Address - Fax:
Practice Address - Street 1:2806 SMITH SPRINGS RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-4311
Practice Address - Country:US
Practice Address - Phone:615-361-0182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-09
Last Update Date:2010-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000026671183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist