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Individual

RAOUF FAWZY MAOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
32018 23RD AVE S, FEDERAL WAY, WA 98003-6022
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
(206) 520-3186

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032553
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821279647
WA
01
8968062
MEDICARE PIN
WA
Enumeration date
11/20/2007
Last updated
10/26/2017
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