Provider Demographics
NPI:1780845255
Name:ABAWI, SULAIMAN O (DO)
Entity Type:Individual
Prefix:DR
First Name:SULAIMAN
Middle Name:O
Last Name:ABAWI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5482 WATERVILLE SWANTON RD
Mailing Address - Street 2:
Mailing Address - City:SWANTON
Mailing Address - State:OH
Mailing Address - Zip Code:43558-9121
Mailing Address - Country:US
Mailing Address - Phone:419-875-6342
Mailing Address - Fax:
Practice Address - Street 1:9456 STATE HIGHWAY 121
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6067
Practice Address - Country:US
Practice Address - Phone:972-942-0100
Practice Address - Fax:972-942-0440
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.009279207P00000X
TXP1254207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2841830Medicaid
OHAB4243908Medicare PIN