| Doctor Name: | DR. KEFAH T. DWABE |
| NPI Number: | 1477656049 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A94193 |
| Business Practice Address: | 4863 El Cajon Blvd. Unit # A San Diego, CA - 92115 |
| Business Phone Number: | 7144431618 |
| Business Fax Number: | 6192869004 |
| Mailing Address: | 4863 El Cajon Blvd, Unit # A SAN DIEGO |
| State: | CA |
| Postal Code: | 921154636 |
| Phone Number: | 7144431618 |
| Fax Number: | 6192869004 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 06/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A94193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |