Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2016018181 | MO |
Y | 207VX0201X | Gynecologic Oncologist | 67322 | MN |
NPI | 1376992727 |
---|---|
Provider Name | Dr. Arwa Mawaffak Mohammad |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2016 |
Last Update Date | 13/10/2020 |