Provider Demographics
NPI:1356573984
Name:DEWANWALA, AKRITI (MD)
Entity type:Individual
Prefix:DR
First Name:AKRITI
Middle Name:
Last Name:DEWANWALA
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 1:8075 SPYGLASS HILL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8281
Mailing Address - Country:US
Mailing Address - Phone:321-255-8008
Mailing Address - Fax:321-255-8009
Practice Address - Street 1:8075 SPYGLASS HILL RD STE 101
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8281
Practice Address - Country:US
Practice Address - Phone:321-255-8008
Practice Address - Fax:321-255-8009
Is Sole Proprietor?:No
Enumeration Date:2009-08-16
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301106681207R00000X, 207RG0100X
FLME131783207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL021171500Medicaid