Provider Demographics
NPI:1669547055
Name:MUDARRY DAW, MAY (MD)
Entity type:Individual
Prefix:MRS
First Name:MAY
Middle Name:
Last Name:MUDARRY DAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MAY
Other - Middle Name:
Other - Last Name:MUDARRY-DOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 4666
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90607-4666
Mailing Address - Country:US
Mailing Address - Phone:562-945-3747
Mailing Address - Fax:562-693-5272
Practice Address - Street 1:14831 WHITTIER BLVD
Practice Address - Street 2:SUITE # 103
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1790
Practice Address - Country:US
Practice Address - Phone:562-945-3747
Practice Address - Fax:562-693-5272
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31838208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice