Individual
DEMSAS G,HAWARIAT ABAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13350 N 94TH DR STE A101, PEORIA, AZ 85381-4826
(623) 974-1500
(623) 933-3383
Mailing address
7700 W ASPERA BLVD, GLENDALE, AZ 85308-7917
(936) 537-9197
(281) 364-0693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46567
AZ
207R00000X
Internal Medicine Physician
MD 60115986
WA
207R00000X
Internal Medicine Physician
N4229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050WS
BCBS
TX
Enumeration date
09/29/2009
Last updated
08/02/2021
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