MEDICARE: DR. PARMANAND DAWANI M.D.

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
1	207R00000X	Internal Medicine Physician	8145	SC

General Provider Information

NPI Number	:	1528323094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PARMANAND DAWANI M.D.

Provider Business Mailing Address
First Line	:	230 S MAIN ST
Second Line	:
City	:	MULLINS
State	:	SC
Zip	:	29574-3120
Country	:	US
Telephone Number	:	843-464-8750
Fax Number	:	843-464-0938

Provider Business Practice Location Address
First Line	:	230 S MAIN ST
Second Line	:
City	:	MULLINS
State	:	SC
Zip	:	29574-3120
Country	:	US
Telephone Number	:	843-464-8750
Fax Number	:	843-464-0938

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2012
Last Update Date	:	07/10/2012

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