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NPI Code Detail

MEDICARE: DANA NACHAWATI DO

MEDICARE: DANA NACHAWATI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician5101029405MI
2207RR0500XRheumatology Physician5101029405MI

General Provider Information

NPI Number : 1396325304
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA NACHAWATI DO
Provider Business Mailing Address
First Line : 2799 W GRAND BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48202-2689
Country : US
Telephone Number : 313-916-1888
Fax Number :
Provider Business Practice Location Address
First Line : 2799 W GRAND BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48202-2608
Country : US
Telephone Number : 313-916-1888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2021
Last Update Date : 05/25/2026

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Directions to “ DANA NACHAWATI DO” Practice Location

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