Basic Information
Provider Information
NPI: 1619130044
EntityType: 2
ReplacementNPI:  
OrganizationName: GWUH
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2300 EYE STREET NW
Address2: LABOR AND DELIVERY
City: WASHINGTON
State: DC
PostalCode: 200372300
CountryCode: US
TelephoneNumber: 2027154000
FaxNumber:  
Practice Location
Address1: 2300 EYE STREET NW
Address2: LABOR AND DELIVERY
City: WASHINGTON
State: DC
PostalCode: 200372300
CountryCode: US
TelephoneNumber: 2027154000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/07/2008
LastUpdateDate: 07/07/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: FOUANY
AuthorizedOfficialFirstName: MAZEN
AuthorizedOfficialMiddleName: RAFIC
AuthorizedOfficialTitleorPosition: OBGYN PGY I
AuthorizedOfficialTelephone: 12026318477
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  Y HospitalsGeneral Acute Care Hospital 

No ID Information.


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