Healthcare Provider Details

I. General information

NPI: 1760777361
Provider Name (Legal Business Name): RICHA DAWAR M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 02/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1192 E NEWPORT CENTER DR STE 100
DEERFIELD BEACH FL
33442-7749
US

IV. Provider business mailing address

1192 E NEWPORT CENTER DR STE 100
DEERFIELD BEACH FL
33442-7749
US

V. Phone/Fax

Practice location:
  • Phone: 954-571-0111
  • Fax: 954-571-0160
Mailing address:
  • Phone: 954-571-0100
  • Fax: 954-571-0160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME115762
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: