Provider Demographics
NPI:1669935763
Name:DAWOOD, LYDIA I (MD)
Entity type:Individual
Prefix:DR
First Name:LYDIA
Middle Name:I
Last Name:DAWOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD UTMB GME 5.138 RS C/O E GUGLIUZZA
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0585
Mailing Address - Country:US
Mailing Address - Phone:409-772-2096
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0709
Practice Address - Country:US
Practice Address - Phone:409-747-2849
Practice Address - Fax:409-772-7120
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100725802085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology