Provider Demographics
NPI:1972514776
Name:DOAS, NAWAL (RPH)
Entity Type:Individual
Prefix:MR
First Name:NAWAL
Middle Name:
Last Name:DOAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8539 COUNTRYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-3428
Mailing Address - Country:US
Mailing Address - Phone:216-228-4544
Mailing Address - Fax:216-529-4510
Practice Address - Street 1:14600 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4207
Practice Address - Country:US
Practice Address - Phone:216-228-4544
Practice Address - Fax:216-529-4510
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-17298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist