Healthcare Provider Details

I. General information

NPI: 1184281073
Provider Name (Legal Business Name): AHMED SHAWAQFEH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2019
Last Update Date: 05/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131ST STREET VILLA D21 GREENLAND COMPOUND MARKHANIYA
ALAIN ABU DHABI
00971
AE

IV. Provider business mailing address

PO BOX 15258 EMERGENCY ROOM TAWAM HOSPITAL
ALAIN ABU DHABI
00971
AE

V. Phone/Fax

Practice location:
  • Phone: 55-957-9291
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: