Provider Demographics
NPI:1730118530
Name:DAWOOD, GAMIL (MD)
Entity Type:Individual
Prefix:
First Name:GAMIL
Middle Name:
Last Name:DAWOOD
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:PO BOX 16725
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36616-0725
Mailing Address - Country:US
Mailing Address - Phone:251-435-2646
Mailing Address - Fax:
Practice Address - Street 1:5 MOBILE INFIRMARY CIR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3513
Practice Address - Country:US
Practice Address - Phone:251-435-2646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19930207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51003514OtherBLUE CROSS
AL009936094Medicaid
AL009991595Medicaid
AL51533379OtherBLUE CROSS
AL009936096Medicaid
AL009925775Medicaid
AL51516647OtherBLUE CROSS
AL009936093Medicaid
AL51001016OtherBLUE CROSS
AL009936094Medicaid
AL051516647Medicare ID - Type Unspecified
AL051555864Medicare ID - Type Unspecified