Provider Demographics
NPI:1255489746
Name:DAWOOD, GIHAN E (DO)
Entity Type:Individual
Prefix:DR
First Name:GIHAN
Middle Name:E
Last Name:DAWOOD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:GIGI
Other - Middle Name:ELLEN
Other - Last Name:DAWOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:451 JUNCTION RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-2656
Practice Address - Country:US
Practice Address - Phone:608-263-5010
Practice Address - Fax:608-265-7519
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI42293-21207RE0101X
IL036156433207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID20000957Medicare PIN