Ajay K Dhawan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301066166 Issued in MI

Practice address

1108 Amber Lake CT
Cape Coral, FL 33909-2946

Phone

(239) 699-5830

NPI assigned

Jul 26, 2006

Last updated

Dec 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CCM Specialists LLC

  • Case Manager/Care Coordinator
  • Cape Coral, FL
  • NPI 1891183984
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1356365043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 LONGLEAF DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149555",
            "telephone_number": "239-699-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 AMBER LAKE CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092946",
            "telephone_number": "239-699-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "AJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301066166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Devlin, LCSW
• Melissa Devora Diaz
• Patricia M. Devost I
• Bonnie J. Dewar, M.A.,LMHC, NCC
• DGG Florida SVCS Inc
• Diana Moldon Corporation (MD Pharmacy & MES)
• Carlos Javier Diaz Arencibia, RN
• Javier Diaz Benitez
• Lorena Diaz Cabrera
• Lazaro Diaz Cardenas

• Internal Medicine Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.