Individual
DR. MAHMOUD ABOUALAIWA
Active
Individual
DR. MAHMOUD ABOUALAIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01059896A
IN
207R00000X
Internal Medicine Physician
38608
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
38608
IA
207RP1001X
Pulmonary Disease Physician
Primary
38608
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609860006
—
IA
05
—
200521200
—
IN
01
—
P00804974
RR MEDICARE
IA
Enumeration date
08/31/2005
Last updated
06/27/2013
Update your record
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