Provider Demographics
NPI:1295182657
Name:DAWOOD, ABUBAKARI
Entity type:Individual
Prefix:
First Name:ABUBAKARI
Middle Name:
Last Name:DAWOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12504 TRAIL OAKS DR
Mailing Address - Street 2:APT C
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-9128
Mailing Address - Country:US
Mailing Address - Phone:405-833-7178
Mailing Address - Fax:
Practice Address - Street 1:12504 TRAIL OAKS DR
Practice Address - Street 2:APT C
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-9128
Practice Address - Country:US
Practice Address - Phone:405-833-7178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator