Sumeesh Dhawan Mdpa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M1074 Issued in TX

Legal business name

SUMEESH DHAWAN MDPA

Practice address

1211 Del Mar Dr
Southlake, TX 76092-3932

Phone

(817) 350-4698

NPI assigned

Dec 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sumeesh Dhawan, MD

Title

Medical Director

Phone

(817) 473-7197

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1740525443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 DELMAR DRIVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923932",
            "telephone_number": "817-350-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 DEL MAR DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923932",
            "telephone_number": "817-350-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMEESH DHAWAN MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "DHAWAN",
        "authorized_official_first_name": "SUMEESH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-473-7197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Stuart, LMSW
• Tauriah Tyshae Lynn Stubblefield, LCSW
• Allyson Levon Stuckless, MMFT, LPC
• Ashley Nichole Sturgis, MS, CCC-SLP
• Taylor Sullivan, SLP
• Sumi Physician Services PLLC
• Summy Home Health Care Agency LLC
• Lloyd G Summy, M. ED. BCBA
• Sunflower Autism and Psychiatric Associates
• Sailendra R Sunkara, M.D., M.B.A.

• Internal Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.