1962754309 NPI number — MR. DAOUD H. ABULHAWA B.S.PHARM

Table of content: MR. DAOUD H. ABULHAWA B.S.PHARM (NPI 1962754309)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962754309 NPI number — MR. DAOUD H. ABULHAWA B.S.PHARM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ABULHAWA
Provider First Name:
DAOUD
Provider Middle Name:
H.
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
B.S.PHARM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HAWA
Provider Other First Name:
DAVID
Provider Other Middle Name:
H.
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
B.S.PHARM
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1962754309
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10580 ARROWHEAD DRIVE
Provider Second Line Business Mailing Address:
FAIRFAX HEALTH CENTER
Provider Business Mailing Address City Name:
FAIRFAX
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22030
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
571-432-2680
Provider Business Mailing Address Fax Number:
571-432-2795

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10580 ARROWHEAD DRIVE
Provider Second Line Business Practice Location Address:
FAIRFAX HEALTH CENTER
Provider Business Practice Location Address City Name:
FAIRFAX
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
571-432-2680
Provider Business Practice Location Address Fax Number:
571-432-2795
Provider Enumeration Date:
10/09/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1835P1200X , with the licence number:  0202011881 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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