Provider Demographics
NPI:1477733822
Name:KHALED A. TAWANSY,M.D., INC
Entity Type:Organization
Organization Name:KHALED A. TAWANSY,M.D., INC
Other - Org Name:CHILDREN'S RETINA INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPHTHALMOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALED
Authorized Official - Middle Name:ALY
Authorized Official - Last Name:TAWANSY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-257-3937
Mailing Address - Street 1:7447 N FIGUEROA ST
Mailing Address - Street 2:SUITE # 200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1718
Mailing Address - Country:US
Mailing Address - Phone:323-257-3937
Mailing Address - Fax:323-257-3200
Practice Address - Street 1:7447 N FIGUEROA ST
Practice Address - Street 2:SUITE # 200
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1718
Practice Address - Country:US
Practice Address - Phone:323-257-3937
Practice Address - Fax:323-257-3200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center