Individual
MR. TAREK GAWDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 ESTANCIA, IRVINE, CA 92602-1114
(714) 747-5170
Mailing address
701 ESTANCIA, IRVINE, CA 92602-1114
(714) 747-5170
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
Y2781950
CA
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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