MEDICARE: SHERIF MAGDY MOAWAD MD

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
1	2085R0202X	Diagnostic Radiology Physician	35.150574	OH
2	2085R0202X	Diagnostic Radiology Physician	4301511596	MI
3	2085R0204X	Vascular & Interventional Radiology Physician	D0097749	MD
4	2085R0204X	Vascular & Interventional Radiology Physician	MD475693	PA
5	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639674658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERIF MAGDY MOAWAD MD

Provider Business Mailing Address
First Line	:	5757 PARK CENTER CT.
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615
Country	:	US
Telephone Number	:	419-474-4064
Fax Number	:	419-472-2772

Provider Business Practice Location Address
First Line	:	5757 PARK CENTER CT.
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615
Country	:	US
Telephone Number	:	419-474-4064
Fax Number	:	419-472-2772

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2018
Last Update Date	:	06/15/2026

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Directions to “ SHERIF MAGDY MOAWAD MD” Practice Location

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