Provider Demographics
NPI:1811493018
Name:DHAWAN, DARIAN SIDDHARTHA (MD)
Entity type:Individual
Prefix:DR
First Name:DARIAN
Middle Name:SIDDHARTHA
Last Name:DHAWAN
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 1:155 N FRESNO ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93701-2302
Mailing Address - Country:US
Mailing Address - Phone:559-499-6556
Mailing Address - Fax:
Practice Address - Street 1:11501 MONTGOMERY BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2796
Practice Address - Country:US
Practice Address - Phone:505-814-1333
Practice Address - Fax:505-990-3437
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2023-1375208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics