Healthcare Provider Details

I. General information

NPI: 1437156106
Provider Name (Legal Business Name): MOHAMED N KARAWI D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3326 N 3RD AVE
PHOENIX AZ
85013-4321
US

IV. Provider business mailing address

3326 N 3RD AVE
PHOENIX AZ
85013-4321
US

V. Phone/Fax

Practice location:
  • Phone: 602-274-2351
  • Fax: 602-274-2355
Mailing address:
  • Phone: 602-274-2351
  • Fax: 602-274-2355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number5628
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD5628
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: