Organization
PREM S. JAWA, MD., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREM S JAWA MD (OWNER-SELF)
(440) 286-5464
Entity
Organization
Contact information
Practice address
13170 RAVENNA RD, STE 100, CHARDON, OH 44024-7025
(440) 286-5464
(440) 286-8386
Mailing address
13170 RAVENA RD., STE #100, CHARDON, OH 44024-7025
(440) 286-5464
(440) 286-8386
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2832368
—
OH
Enumeration date
03/19/2007
Last updated
01/29/2009
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