Provider Demographics
NPI:1619684834
Name:MUHAMMAD DAWWAS, MD
Entity Type:Organization
Organization Name:MUHAMMAD DAWWAS, MD
Other - Org Name:LOUISVILLE CENTER FOR INTERVENTIONAL GASTROENTEROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWWAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-234-3517
Mailing Address - Street 1:7908 CINCINNATI DAYTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6628
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:225 ABRAHAM FLEXNER WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1882
Practice Address - Country:US
Practice Address - Phone:513-755-0801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAWAS DENTAL CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-28
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty