=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427031772
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. SAFWAN HAMWI, MD PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/21/2005
-----------------------------------------------------
Last Update Date | 01/29/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 NEW YORK AVE SUITE 310
-----------------------------------------------------
City | OAK RIDGE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37830-5212
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-482-9565
-----------------------------------------------------
Fax | 865-482-5750
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 NEW YORK AVE SUITE 310
-----------------------------------------------------
City | OAK RIDGE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37830-5212
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-482-9565
-----------------------------------------------------
Fax | 865-482-5750
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ENDOCRINOLOGIST
-----------------------------------------------------
Name | MR. SAFWAN HAMWI
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 865-482-9565
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 28157
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------