Provider Demographics
NPI:1932957545
Name:MAHMOUD, ROWAD SHABAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROWAD
Middle Name:SHABAN
Last Name:MAHMOUD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4744 MCGREEVY CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8572
Mailing Address - Country:US
Mailing Address - Phone:614-205-2093
Mailing Address - Fax:
Practice Address - Street 1:2699 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2997
Practice Address - Country:US
Practice Address - Phone:614-237-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.027485122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist