Individual
DR. MAHMOUD HALAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 HOSPITAL DR STE 350, LEBANON, MO 65536-9253
(417) 533-6729
Mailing address
120 HOSPITAL DR STE 350, LEBANON, MO 65536-9253
(417) 533-6729
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019024550
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2016
Last updated
07/29/2019
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