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Individual
ENTIDHAR DIAB AL SAWAH
Active
Individual
ENTIDHAR DIAB AL SAWAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME131697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021182000
—
FL
01
—
12QI5
BLUE CROSS BLUE SHIELD
FL
01
—
IZ822Z
MEDICARE
FL
Enumeration date
03/21/2013
Last updated
10/22/2020
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