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NPI Code Detail

MEDICARE: DR. LAMA KAWAR DO

MEDICARE: DR. LAMA KAWAR DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician5101026418MI
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1346745437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAMA KAWAR DO
Provider Business Mailing Address
First Line : 27050 DOXTATOR ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3336
Country : US
Telephone Number : 313-703-4113
Fax Number :
Provider Business Practice Location Address
First Line : 6200 CHASE RD
Second Line :
City : DEARBORN
State : MI
Zip : 48126-2108
Country : US
Telephone Number : 313-278-0600
Fax Number : 313-562-9407
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2018
Last Update Date : 09/09/2021

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