Provider Demographics
NPI:1013065382
Name:NAWAR, MOHAMAD A (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMAD
Middle Name:A
Last Name:NAWAR
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 1:2201 N BEDELL AVE
Mailing Address - Street 2:STE E
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-8021
Mailing Address - Country:US
Mailing Address - Phone:830-703-1646
Mailing Address - Fax:
Practice Address - Street 1:2201 N BEDELL AVE
Practice Address - Street 2:STE E
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-8021
Practice Address - Country:US
Practice Address - Phone:830-703-1646
Practice Address - Fax:830-774-7257
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8249207RC0000X, 207RH0005X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RH0005XAllopathic & Osteopathic PhysiciansInternal MedicineHypertension Specialist
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612989Medicare PIN