Provider Demographics
NPI:1376580787
Name:SARWAR, JAWAD (MD)
Entity Type:Individual
Prefix:MR
First Name:JAWAD
Middle Name:
Last Name:SARWAR
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 1:13630 BEAMER RD
Mailing Address - Street 2:STE 114
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6038
Mailing Address - Country:US
Mailing Address - Phone:281-481-8500
Mailing Address - Fax:281-481-8520
Practice Address - Street 1:13630 BEAMER ROAD
Practice Address - Street 2:SUITE 114
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6038
Practice Address - Country:US
Practice Address - Phone:281-481-8500
Practice Address - Fax:281-481-8520
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239632207Q00000X, 207R00000X
PAMD428895207R00000X, 207Q00000X
TXN9639207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX295063604Medicaid
TX295063604Medicaid