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Individual

MR. SUNIL S DHAWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2557 MOWRY AVE, STE 34, FREMONT, CA 94538
(510) 797-4111
(510) 797-3320
Mailing address
2557 MOWRY AVE, STE 34, FREMONT, CA 94538
(510) 797-4111
(510) 797-3320

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G53340
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BF280Z
MEDICARE PTAN
CA
01
CB367
MEDICARE PTAN
CA
Enumeration date
01/25/2006
Last updated
10/01/2010
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