Provider Demographics
NPI:1295109379
Name:EL DAWUD, DINA ZAHI DAWUD
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:ZAHI DAWUD
Last Name:EL DAWUD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 ARENA BLVD
Mailing Address - Street 2:APT 6205
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-7925
Mailing Address - Country:US
Mailing Address - Phone:714-348-0739
Mailing Address - Fax:
Practice Address - Street 1:3630 BUSINESS DR
Practice Address - Street 2:SUITE D
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-2163
Practice Address - Country:US
Practice Address - Phone:888-458-8022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-30
Last Update Date:2017-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74109183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist