Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 4301098048 | MI |
NPI | 1053518803 |
---|---|
Provider Name | Ahmed Sawah |
First Address | Dearborn, MI 48126-2619 |
Second Address | Dearborn, MI 48126-2619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 13/04/2017 |