Healthcare Provider Details

I. General information

NPI: 1255763827
Provider Name (Legal Business Name): KOMAL BHAVIN DUMASWALA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. KOMAL NITIN SARAIYA

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1872 ST LUKES BLVD
EASTON PA
18045-5669
US

IV. Provider business mailing address

4754 DEALTREY DR
EASTON PA
18045-5690
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-6643
  • Fax:
Mailing address:
  • Phone: 908-705-7403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD458204
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD458204
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: