Provider Demographics
NPI:1134314636
Name:NAWAB, SYLVANUS KWAKU (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVANUS
Middle Name:KWAKU
Last Name:NAWAB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CALLE EARLE
Mailing Address - Street 2:APT. 1101
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1254
Mailing Address - Country:US
Mailing Address - Phone:787-467-7909
Mailing Address - Fax:
Practice Address - Street 1:3 CALLE EARLE
Practice Address - Street 2:APT. 1101
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1254
Practice Address - Country:US
Practice Address - Phone:787-467-7909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-09
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program