| Doctor Name: | DR. SUSHIL KUMAR DHAWAN |
| NPI Number: | 1013018118 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D.,DPM |
| License Number: | N0005909-1 |
| Business Practice Address: | 111 Maltese Dr Middletown, NY - 109402115 |
| Business Phone Number: | 8453244774 |
| Business Fax Number: | 8453438741 |
| Mailing Address: | 111 Maltese Dr, MIDDLETOWN |
| State: | NY |
| Postal Code: | 109402115 |
| Phone Number: | 8453244774 |
| Fax Number: | 8453438741 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 09/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | N0005909-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |