Doctor Name: | DR. SUMAYYA SHAMAROZE JAWADI |
NPI Number: | 1154592251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 125.052443 |
Business Practice Address: | 123 Summer St Worcester, MA - 016081216 |
Business Phone Number: | 9789392035 |
Business Fax Number: | |
Mailing Address: | 77 Hoffman Ave Apt E, CRANSTON |
State: | RI |
Postal Code: | 029204558 |
Phone Number: | 8166517131 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2008 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 125.052443 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |