MEDICARE: MAYYA KAWAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	199486	PA

General Provider Information

NPI Number	:	1073807954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYYA KAWAR

Provider Business Mailing Address
First Line	:	PO BOX 1198
Second Line	:
City	:	FREDERIKSTED
State	:	VI
Zip	:	00841-1198
Country	:	US
Telephone Number	:
Fax Number	:	866-408-0381

Provider Business Practice Location Address
First Line	:	4100 SION FARM SHOPP CTR STE 5&6
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4433
Country	:	US
Telephone Number	:	340-772-0260
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2011
Last Update Date	:	12/14/2021

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Directions to “ MAYYA KAWAR ” Practice Location

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