Individual
DR. SHADWAN F ALSAFWAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
39235
TN
207RC0000X
Cardiovascular Disease Physician
41527
AZ
207RI0011X
Interventional Cardiology Physician
Primary
036-098886
IL
207RI0011X
Interventional Cardiology Physician
39235
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I062027
MEDICARE
TN
05
—
3337932
—
TN
05
—
425003
—
AZ
Enumeration date
09/14/2006
Last updated
08/31/2022
Update your record
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