Provider Demographics
NPI:1053414623
Name:DHAWAN, RAM LAL (MD)
Entity type:Individual
Prefix:DR
First Name:RAM
Middle Name:LAL
Last Name:DHAWAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:660 LINCOLN AVENUE
Mailing Address - Street 2:STE. 101
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3426
Mailing Address - Country:US
Mailing Address - Phone:412-761-4700
Mailing Address - Fax:412-766-8152
Practice Address - Street 1:660 LINCOLN AVE.
Practice Address - Street 2:STE. 101
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3426
Practice Address - Country:US
Practice Address - Phone:412-761-4700
Practice Address - Fax:412-766-8152
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036919L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
B31521Medicare UPIN
PA433869Medicare ID - Type Unspecified