Provider Demographics
NPI:1831249192
Name:BATRAWY, AHMAD AREF (DENTIST)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:AREF
Last Name:BATRAWY
Suffix:
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4926 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-1941
Mailing Address - Country:US
Mailing Address - Phone:727-323-0033
Mailing Address - Fax:727-321-6548
Practice Address - Street 1:4926 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1941
Practice Address - Country:US
Practice Address - Phone:727-323-0033
Practice Address - Fax:727-321-6548
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL107061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice