Provider Demographics
NPI:1760645683
Name:SWEIDAN, DANIA SAMI (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIA
Middle Name:SAMI
Last Name:SWEIDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 S 46TH DR
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7823
Mailing Address - Country:US
Mailing Address - Phone:419-508-0864
Mailing Address - Fax:
Practice Address - Street 1:1025 W 24TH ST STE 22
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8371
Practice Address - Country:US
Practice Address - Phone:415-508-0864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ41192207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ433061Medicaid
AZ436640Medicaid
Z21115Medicare Oscar/Certification
Z21114Medicare Oscar/Certification
AZ436640Medicaid
031805Medicare Oscar/Certification
Z21113Medicare Oscar/Certification
Z21116Medicare Oscar/Certification
AZ433061Medicaid
031823Medicare Oscar/Certification
031824Medicare Oscar/Certification
Z21130Medicare Oscar/Certification