Provider Demographics
NPI:1013010214
Name:KAMAL H ZAWAHRY MD PA
Entity Type:Organization
Organization Name:KAMAL H ZAWAHRY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZAWAHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-769-2374
Mailing Address - Street 1:PO BOX 2130
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32402-2130
Mailing Address - Country:US
Mailing Address - Phone:850-769-2374
Mailing Address - Fax:850-769-9783
Practice Address - Street 1:756 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2524
Practice Address - Country:US
Practice Address - Phone:850-769-2374
Practice Address - Fax:850-769-9783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME36440207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03583OtherBCBS OF FLORIDA
FLD20821Medicare UPIN