Individual
MR. IMTIHAN M JAWDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G9602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080242301
—
TX
01
—
30068526
DPS
TX
01
—
G9602
TEXAS STATE LICENSE
TX
Enumeration date
06/24/2006
Last updated
03/07/2023
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