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NPI Code Detail

MEDICARE: AMAL AMY SAWIRES M.D.

MEDICARE: AMAL AMY SAWIRES M.D.
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianA89586CA
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianA89586CA
3207R00000XInternal Medicine PhysicianA89586CA

General Provider Information

NPI Number : 1639225485
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAL AMY SAWIRES M.D.
Provider Business Mailing Address
First Line : 500 SAN PABLO AVE
Second Line :
City : ALBANY
State : CA
Zip : 94706-1103
Country : US
Telephone Number : 510-204-8130
Fax Number : 510-524-0861
Provider Business Practice Location Address
First Line : 500 SAN PABLO AVE
Second Line :
City : ALBANY
State : CA
Zip : 94706-1103
Country : US
Telephone Number : 510-204-8130
Fax Number : 510-524-0861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 12/17/2021

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