Provider Demographics
NPI:1700247590
Name:NAWAL ALKHAROUF
Entity Type:Organization
Organization Name:NAWAL ALKHAROUF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NAWAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKHAROUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-246-2875
Mailing Address - Street 1:4425 HARBOR COUNTRY DR
Mailing Address - Street 2:R-146
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9951 MICKELBERRY RD NW STE 101
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8309
Practice Address - Country:US
Practice Address - Phone:360-692-9362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60521122282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren