Provider Demographics
NPI:1184787509
Name:WARMAN, DHIRAJ (MD)
Entity type:Individual
Prefix:
First Name:DHIRAJ
Middle Name:
Last Name:WARMAN
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 1:10441 QUALITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-9650
Mailing Address - Country:US
Mailing Address - Phone:352-683-3136
Mailing Address - Fax:352-683-3160
Practice Address - Street 1:10441 QUALITY DR STE 300
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-9650
Practice Address - Country:US
Practice Address - Phone:352-683-3136
Practice Address - Fax:352-683-3160
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN143941223G0001X
OH35.067391207RI0011X
FLME68576207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No1223G0001XDental ProvidersDentistGeneral Practice
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260742500Medicaid
H25134Medicare UPIN
51637Medicare ID - Type Unspecified