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NPI Code Detail

MEDICARE: DEMSAS G,HAWARIAT ABAY MD

MEDICARE:   DEMSAS G,HAWARIAT ABAY  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
1207R00000XInternal Medicine PhysicianMD 60115986WA
2207R00000XInternal Medicine Physician46567AZ
3207R00000XInternal Medicine PhysicianN4229TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10050WSOTHERTXBCBS

General Provider Information

NPI Number : 1720312390
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMSAS G,HAWARIAT ABAY MD
Provider Business Mailing Address
First Line : 7700 W ASPERA BLVD
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-7917
Country : US
Telephone Number : 936-537-9197
Fax Number : 281-364-0693
Provider Business Practice Location Address
First Line : 13350 N 94TH DR STE A101
Second Line :
City : PEORIA
State : AZ
Zip : 85381-4826
Country : US
Telephone Number : 623-974-1500
Fax Number : 623-933-3383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2009
Last Update Date : 08/02/2021

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Directions to “ DEMSAS G,HAWARIAT ABAY MD” Practice Location

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