Provider Demographics
NPI:1760582050
Name:TAWFEEK, DALIA AWNY (OD)
Entity Type:Individual
Prefix:DR
First Name:DALIA
Middle Name:AWNY
Last Name:TAWFEEK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2536 FOXTAIL DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-4778
Mailing Address - Country:US
Mailing Address - Phone:317-850-2844
Mailing Address - Fax:317-850-8464
Practice Address - Street 1:2536 FOXTAIL DR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-4778
Practice Address - Country:US
Practice Address - Phone:317-850-2844
Practice Address - Fax:317-850-8464
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV0070921152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist