Individual
DR. MANISH DHAWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10600 INDUSTRIAL DR, MINDEN, LA 71055-5105
(318) 239-4860
(318) 588-8820
Mailing address
PO BOX 4506, SHREVEPORT, LA 71134-0506
(318) 239-4860
(318) 588-8820
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
11219R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152723603
—
TX
05
—
160376001
—
AR
05
—
1670502
—
LA
Enumeration date
06/09/2005
Last updated
07/22/2022
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