MEDICARE: DR. DILSHAD RAJWANI HEMANI MD

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	208000000X	Pediatrics Physician	D63179	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568418960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DILSHAD RAJWANI HEMANI MD

Provider Business Mailing Address
First Line	:	10145 TANFIELD CT
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-5808
Country	:	US
Telephone Number	:	410-750-3350
Fax Number	:	410-750-3350

Provider Business Practice Location Address
First Line	:	7676 NEW HAMPSHIRE AVE
Second Line	:	SUITE 100
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-7512
Country	:	US
Telephone Number	:	410-707-9012
Fax Number	:	301-244-5584

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

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	03/07/2023

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