Basic Information
| Provider Information | |||||||||
| NPI: | 1225123367 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAWOUD | ||||||||
| FirstName: | AMIR | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2950 CLEVELAND CLINIC BLVD | ||||||||
| Address2: | |||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333313609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9546595000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2950 CLEVELAND CLINIC BLVD | ||||||||
| Address2: | |||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333313609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9546595000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 01/09/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | ME100372 | FL | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | P00404254 | 01 | OH | MEDICARE RAILROAD | OTHER | 000000516027 | 01 | OH | ANTHEM | OTHER | 000814900 | 05 | FL | MEDICAID | 0583328 | 01 | OH | BCMH | OTHER | 7781396 | 01 | OH | AETNA | OTHER | 000000221228 | 01 | OH | UNISON | OTHER | 414651 | 01 | OH | WELLCARE MEDICAID | OTHER | 0152516 | 05 | OH | MEDICAID | 743963 | 01 | OH | BUCKEYE MEDICAID | OTHER |