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NPI Code Detail

MEDICARE: DR. DIYAA MOHAMMAD HASSANEIN NAWAR M.D.

MEDICARE: DR. DIYAA MOHAMMAD HASSANEIN NAWAR M.D.
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
1207Q00000XFamily Medicine PhysicianM2515TX
2207Q00000XFamily Medicine PhysicianME91972FL

General Provider Information

NPI Number : 1245382209
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIYAA MOHAMMAD HASSANEIN NAWAR M.D.
Provider Business Mailing Address
First Line : 1333 ELDRIDGE PKWY
Second Line : #1432
City : HOUSTON
State : TX
Zip : 77077-1610
Country : US
Telephone Number : 832-248-6876
Fax Number :
Provider Business Practice Location Address
First Line : HOUSTON COMMUNITY HEALTH CTRS. INC./DENVER HARBOR CLIN
Second Line : 424 HAHLO ST
City : HOUSTON
State : TX
Zip : 77020-3022
Country : US
Telephone Number : 713-674-3326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 07/12/2007

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