Individual
DR. MOHAMED DAWOOD VADVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 9TH AVE, STE 305, PORT ARTHUR, TX 77642-2701
(409) 983-3221
(409) 983-3222
Mailing address
2501 JIMMY JOHNSON BLVD, STE 204, PORT ARTHUR, TX 77640-2009
(409) 983-3221
(409) 983-3222
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J5042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100006737
MEDICARE RAILROAD
TX
01
—
81V522
BLUE CROSS
TX
05
—
P081V5226
—
TX
Enumeration date
08/03/2005
Last updated
05/19/2019
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