Organization
ANAS KAWAYEH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAS KAWAYEH MD (PRESIDENT)
(909) 883-2999
Entity
Organization
Contact information
Practice address
2006 N RIVERSIDE AVE, STE A, RIALTO, CA 92377-4696
(909) 883-2999
Mailing address
375 TERRACINA BLVD, REDLANDS, CA 92373-3801
(909) 883-2999
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A109588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A109588
LICENSE
CA
Enumeration date
09/22/2016
Last updated
01/06/2020
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