Healthcare Provider Details

I. General information

NPI: 1639676620
Provider Name (Legal Business Name): DAWOOD FINDAKLY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16918 DOVE CANYON RD STE 103
SAN DIEGO CA
92127-3455
US

IV. Provider business mailing address

PO BOX 4062
ALAMEDA CA
94501-0401
US

V. Phone/Fax

Practice location:
  • Phone: 858-649-5100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberA183487
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberA183487
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: