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1679573059

NPI Code Detail

MEDICARE: DR. MANISH KUMAR DHAWAN MD

MEDICARE: DR. MANISH KUMAR DHAWAN 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	207RG0100X	Gastroenterology Physician	MD059996L	PA

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	10925751	OTHER		CAQH

General Provider Information

NPI Number	:	1679573059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANISH KUMAR DHAWAN MD

Provider Business Mailing Address
First Line	:	1307 FEDERAL ST STE B100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4761
Country	:	US
Telephone Number	:	412-359-8900
Fax Number	:	412-359-8977

Provider Business Practice Location Address
First Line	:	1307 FEDERAL ST STE B100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4761
Country	:	US
Telephone Number	:	412-359-8900
Fax Number	:	412-359-8977

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	11/16/2020

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Directions to “ DR. MANISH KUMAR DHAWAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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