Individual
VIKRAM DHAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUSTAVE L. LEVY PLACE, MOUNT SINAI MEDICAL CENTER, NEW YORK, NY 10029-6574
(212) 241-8867
Mailing address
225 E 95TH ST, APT 17M, NEW YORK, NY 10128-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.085862
OH
207R00000X
Internal Medicine Physician
35085862
OH
207RP1001X
Pulmonary Disease Physician
Primary
268699
NY
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
35.085862
OH
2084N0400X
Neurology Physician
35.085862
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000559866
ANTHEM
OH
05
—
1609865195
—
MI
05
—
2622193
—
OH
01
—
7569757
AETNA
OH
01
—
P00856985
MEDICARE RAILROAD
OH
Enumeration date
10/18/2005
Last updated
10/01/2015
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