Provider Demographics
NPI:1255763827
Name:DUMASWALA, KOMAL BHAVIN (MD)
Entity type:Individual
Prefix:DR
First Name:KOMAL
Middle Name:BHAVIN
Last Name:DUMASWALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KOMAL
Other - Middle Name:NITIN
Other - Last Name:SARAIYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 RIVER DR
Mailing Address - Street 2:APT 201
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-2819
Mailing Address - Country:US
Mailing Address - Phone:908-705-7403
Mailing Address - Fax:
Practice Address - Street 1:801 OSTRUM ST
Practice Address - Street 2:ST. LUKES INTERNAL MEDICINE
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1000
Practice Address - Country:US
Practice Address - Phone:484-526-6643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD458204208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist