MEDICARE: EYAD KAWAR MD

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	207R00000X	Internal Medicine Physician	U0373	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	U0373	TX
3	207RP1001X	Pulmonary Disease Physician	U0373	TX
4	207R00000X	Internal Medicine Physician	4301088206	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205038296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EYAD KAWAR MD

Provider Business Mailing Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 N LEE ST STE 203
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-1128
Country	:	US
Telephone Number	:	904-354-8200
Fax Number	:	904-354-1340

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

Provider Enumeration Date	:	06/03/2007
Last Update Date	:	10/20/2022

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Directions to “ EYAD KAWAR MD” Practice Location

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