Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 236965 | NY |
N | 213ES0103X | Foot & Ankle Surgery | N0005909-1 | NY |
NPI | 1013018118 |
---|---|
Provider Name | Dr. Sushil Kumar Dhawan |
First Address | Middletown, NY 10940-2115 |
Second Address | Middletown, NY 10940-2115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 22/09/2011 |