Al Azzawi, Mohammed Mahmood

Al Azzawi, Mohammed Mahmood is an individual health care provider with primary practice located at 4179 Dowlen Rd , Beaumont TX 77706-6852. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Al Azzawi, Mohammed Mahmood can be contacted via phone (916) 595-3187.

Contact Information

Primary practice address
4179 Dowlen Rd Beaumont TX 77706-6852
Phone: (916) 595-3187
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401416654 Virginia
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 35480 Texas

Profile Details

NPI number 1578116968
LBN Legal business name Al Azzawi, Mohammed Mahmood
Credentials BDS, MS, MS, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2019
Last updated Apr 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578116968 NPPES
Texas Other 35480 DENTAL LICENCE

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