# ENTIDHAR DIAB AL SAWAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063754547
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME131697 | FL | Yes |

## Other

- **Enumeration date:** 03/21/2013
- **Last updated:** 10/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 021182000 | — | FL |
| 01 | — | 12QI5 | BLUE CROSS BLUE SHIELD | FL |
| 01 | — | IZ822Z | MEDICARE | FL |