NPI Code Details Logo

NPI 1205038296

NPI 1205038296 : EYAD KAWAR MD : JACKSONVILLE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1205038296
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    EYAD KAWAR MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/03/2007
-----------------------------------------------------
    Last Update Date     |    10/20/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    425 N LEE ST STE 203 
-----------------------------------------------------
    City                 |    JACKSONVILLE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32204-1128
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    904-354-8200
-----------------------------------------------------
    Fax                  |    904-354-1340
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11511 SHADOW CREEK PKWY 
-----------------------------------------------------
    City                 |    PEARLAND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77584-7298
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    713-442-0000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    U0373
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RC0200X
-----------------------------------------------------
    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    U0373
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RP1001X
-----------------------------------------------------
    Taxonomy Name        |    Pulmonary Disease Physician
-----------------------------------------------------
    License Number       |    U0373
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    4301088206
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.