Provider Demographics
NPI:1366451908
Name:AZAWI, HAIFA (MD)
Entity Type:Individual
Prefix:
First Name:HAIFA
Middle Name:
Last Name:AZAWI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16660 PARAMOUNT BLVD
Mailing Address - Street 2:105
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-5433
Mailing Address - Country:US
Mailing Address - Phone:562-529-7550
Mailing Address - Fax:562-529-7062
Practice Address - Street 1:16660 PARAMOUNT BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5433
Practice Address - Country:US
Practice Address - Phone:562-529-7550
Practice Address - Fax:562-529-7062
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40702207VX0000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40702OtherMEDICAL STATE LICENSE#
CA00A263141Medicaid
CA160056715OtherMEDICARE RAILROAD ID
CA95-4037933Medicaid
CA00A263141Medicaid