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NPI Code Detail

MEDICARE: ALWAHAB MD INC

MEDICARE: ALWAHAB MD INC
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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1932828589
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALWAHAB MD INC
Provider Business Mailing Address
First Line : 250 E CHASE AVE STE 110
Second Line :
City : EL CAJON
State : CA
Zip : 92020-6305
Country : US
Telephone Number : 619-499-5006
Fax Number :
Provider Business Practice Location Address
First Line : 3835 AVOCADO BLVD STE 150
Second Line :
City : LA MESA
State : CA
Zip : 91941-8524
Country : US
Telephone Number : 619-499-5006
Fax Number :
Authorized Official
Title or Position : OWNER/PROVIDER
Name : AREEJ ALWAHAB
Credential : MD
Telephone Number : 858-717-1757
Provider Enumeration Date : 08/25/2022
Last Update Date : 03/12/2026

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