Provider Demographics
NPI:1891954210
Name:SHAWESH, LOUAY (MD)
Entity Type:Individual
Prefix:
First Name:LOUAY
Middle Name:
Last Name:SHAWESH
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 1:16712 SAYBROOK LN
Mailing Address - Street 2:APT 116
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-3135
Mailing Address - Country:US
Mailing Address - Phone:714-916-3810
Mailing Address - Fax:
Practice Address - Street 1:16712 SAYBROOK LN
Practice Address - Street 2:APT 116
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-3135
Practice Address - Country:US
Practice Address - Phone:714-916-3810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104780207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AQ206ZMedicare UPIN