Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 32209 | IA |
NPI | 1013914423 |
---|---|
Provider Name | Dr. Eyad K Najdawi |
First Address | Sioux City, IA 51105-1485 |
Second Address | Sioux City, IA 51105-1485 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 28/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0171702 | (05) | IA |
G24303 | (02) | IA |