Agam Dhawan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301505390 Issued in MI

Practice address

950 28TH St SE Ste 104-3
Building E #208
Grand Rapids, MI 49508-1300

Phone

(516) 360-0849

NPI assigned

Jun 26, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Agam Dhawan Psychiatry

  • Psychiatry Physician
  • Glen Oaks, NY
  • NPI 1134902778
  NPD Authorized official

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1801457197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 28TH ST SE",
            "address_2": "SUITE 104-3 BUILDING E #208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 28TH ST SE STE 104-3",
            "address_2": "BUILDING E #208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081300",
            "telephone_number": "516-360-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "AGAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301505390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiri Deyoung
• Latisha Lynne Deyoung, NP
• Mariah Lynn Deyoung, LMSW
• Rhonda Ann Deyoung, NP
• Philip Dezern
• Karan Dhir, M.D.
• Tristan Jong Di Cesare
• Awa Dia
• Sammy E Dia, MD
• Shawn M Dial, D.DS

• Psychiatry Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.