Individual
ROSHAN DHAWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 LAWRENCE EXPY FL 1, SANTA CLARA, CA 95051-5173
(408) 851-5145
Mailing address
1070 HANNAFORD LN, DULUTH, GA 30097-6500
(413) 204-2091
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
84839
GA
207RR0500X
Rheumatology Physician
Primary
C183356
CA
207RR0500X
Rheumatology Physician
MD440032
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027726514
—
PA
Enumeration date
09/14/2007
Last updated
12/12/2022
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