Provider Demographics
NPI:1184887176
Name:JAWED, SAMIHA (MD)
Entity type:Individual
Prefix:
First Name:SAMIHA
Middle Name:
Last Name:JAWED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 WELLESLEY LNDG
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78231-2268
Mailing Address - Country:US
Mailing Address - Phone:973-432-1029
Mailing Address - Fax:210-899-1224
Practice Address - Street 1:1150 N LOOP 1604 W STE 108-176
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-4552
Practice Address - Country:US
Practice Address - Phone:973-432-1029
Practice Address - Fax:210-899-6855
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301097762207R00000X
TXP5653207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX503998YTUWMedicare UPIN