Provider Demographics
NPI:1053540419
Name:DHAWLIKAR, SUNITA (MD)
Entity type:Individual
Prefix:DR
First Name:SUNITA
Middle Name:
Last Name:DHAWLIKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 OAKCREST CT
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1162
Mailing Address - Country:US
Mailing Address - Phone:732-859-1967
Mailing Address - Fax:732-217-3581
Practice Address - Street 1:21 OAKCREST CT
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1162
Practice Address - Country:US
Practice Address - Phone:732-859-1967
Practice Address - Fax:732-217-3581
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06790000207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ020568Medicare PIN
NJG85595Medicare UPIN