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DAMAYANTI S HATHIWALA MD NPI 1316044233


NPI Information

NPI: 1316044233
Provider Name: DAMAYANTI S HATHIWALA, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 14D1084591

Address:
3340 OAK PARK AVE
SUITE 201
BERWYN, IL
ZIP 60402
Phone: (708) 795-5502
Get Directions

Damayanti S Hathiwala, MD is a pediatrics in Berwyn, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Damayanti S Hathiwala, MD NPI is 1316044233. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3340 OAK PARK AVE
SUITE 201
BERWYN, IL
ZIP 60402-420
Phone: (708) 795-5502
Fax: (708) 795-5516

The CLIA number assigned to this NPI record is 14D1084591 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics36-65246ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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