Provider Demographics
NPI:1407087455
Name:FRANCIS, JAWAD ELIAS (MD)
Entity Type:Individual
Prefix:DR
First Name:JAWAD
Middle Name:ELIAS
Last Name:FRANCIS
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 1:667 EASTLAND AVE SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-4503
Mailing Address - Country:US
Mailing Address - Phone:330-841-4177
Mailing Address - Fax:330-841-4598
Practice Address - Street 1:894 E ALTAMONTE DR
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5002
Practice Address - Country:US
Practice Address - Phone:407-834-5151
Practice Address - Fax:407-834-5562
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME134820207RX0202X
OH35099046207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0081753Medicaid
OHH167390OtherMEDICARE PTAN