Provider Demographics
NPI:1982049292
Name:AL SAWAF, MOHAMED YAHYA (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:YAHYA
Last Name:AL SAWAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:M
Other - Middle Name:YAHYA
Other - Last Name:SAWAF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:14826 PLEASANT RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5569
Mailing Address - Country:US
Mailing Address - Phone:636-537-4664
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE ST. N.W.
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309
Practice Address - Country:US
Practice Address - Phone:404-686-5612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA705172085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology