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Individual
DR. VIBHU DHAWAN
Active
Individual
DR. VIBHU DHAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036117862
IL
207R00000X
Internal Medicine Physician
Primary
53839
AZ
207RN0300X
Nephrology Physician
036117862
IL
207RN0300X
Nephrology Physician
19123
NV
208000000X
Pediatrics Physician
036117862
IL
208M00000X
Hospitalist Physician
036117862
IL
208M00000X
Hospitalist Physician
2011011351
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117862
—
IL
05
—
1033315965
—
NV
01
—
809840
MEDICARE GROUP #
IL
01
—
CA4079
RR MEDICARE GROUP PTAN
IL
01
—
P00617102
RR MEDICARE GROUP MEMBER PTAN
IL
Enumeration date
06/26/2007
Last updated
08/07/2026
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