Provider Demographics
NPI:1801212824
Name:JASWAL, DHARMVIR (MD)
Entity type:Individual
Prefix:DR
First Name:DHARMVIR
Middle Name:
Last Name:JASWAL
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 1:10 CENTER DR
Mailing Address - Street 2:ROOM 2C145
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1662
Mailing Address - Country:US
Mailing Address - Phone:301-978-6623
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DR
Practice Address - Street 2:ROOM 2C145
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1662
Practice Address - Country:US
Practice Address - Phone:301-978-6623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-14
Last Update Date:2015-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD75096207R00000X, 207RN0300X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology