Provider Demographics
NPI:1568754661
Name:TURJMAN, MWAFA (MD)
Entity Type:Individual
Prefix:DR
First Name:MWAFA
Middle Name:
Last Name:TURJMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MOUAFAK
Other - Middle Name:
Other - Last Name:TOUROJMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1001 BELLEFONTAINE AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-2800
Mailing Address - Country:US
Mailing Address - Phone:419-998-4575
Mailing Address - Fax:419-998-4586
Practice Address - Street 1:1005 BELLEFONTAINE AVE STE 225
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-2896
Practice Address - Country:US
Practice Address - Phone:419-998-8276
Practice Address - Fax:419-998-8277
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.134549208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology