YAZAN YACOUB HANNA SAWALHA (NPI# 1750802005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750802005 |
Entity Type | Individual |
Full Name | YAZAN YACOUB HANNA SAWALHA |
Credential | MD |
Practice Address |
24035 Three Notch Rd Hollywood MD 20636-4871 |
Mailing Address |
110 Irving St Nw Dept Of Washington DC 20010-3017 |
Practice Telephone | 3013737900 |
Practice Fax Number | 3013736900 |
Mailing Telephone | 2028778278 |
Mailing Fax Number | 2028776292 |
Enumeration Date | 2017-06-27 |
Last Update Date | 2020-11-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
24035 THREE NOTCH RD |
City | HOLLYWOOD |
State | MD |
Zip Code | 20636-4871 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154324440 | Nrh-cpt Regional Rehab LLC | Clinic/Center | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2005-05-31 |
1013537943 | Sydney Deems | Student in an Organized Health Care Education/Training Program | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2020-04-21 |
1477182293 | Jewel Lucendia Ory | Dietitian, Registered | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2020-04-03 |
1447887781 | National Rehabiliation Hospital, Inc | Clinic/Center | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2020-03-25 |
1083252613 | Crystal Martirano | Physical Therapy Assistant | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2019-12-13 |
1447894597 | Neelesh Katkar | Physical Therapist | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2019-11-01 |
1497398093 | Rachel Leanne Bilo | Physician Assistant | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2019-10-26 |
1467015560 | Dawn Marie Drury | Nurse Practitioner | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2019-04-15 |
1194249177 | Mary Clark Magill | Registered Nurse | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2017-08-01 |
1194199398 | Gillian Catherine Kania | Physical Therapist | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2015-11-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841708427 | Lisa Early | Case Manager/Care Coordinator | 24077 John Cameron Way, Hollywood, MD 20636 | 2018-01-17 |
1326439365 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24288 Three Notch Rd., Hollywood, MD 20636 | 2015-02-12 |
1972810612 | Kathleen Latona Boyles | Pharmacist | 24288 Three Notch Road, Hollywood, MD 20636 | 2010-09-01 |
1386825271 | Vijaya Guduri | Internal Medicine | 24035 Three Notch Road, Shah Associates Md LLC, Hollywood, MD 20636 | 2007-11-19 |
1245397678 | St Johns Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 24288 Three Notch Rd, Hollywood, MD 20636 | 2007-01-03 |
1194824755 | Julie Wilkening | Chiropractor | 24351 Mervell Dean Rd #115, Hollywood, MD 20636 | 2006-09-21 |
1225134281 | Mary Rice Hughes | Registered Nurse | 44101 Airport View Dr., Hollywood, MD 20636 | 2006-09-16 |
1376654194 | Suzanne Janis Pelz | Counselor | 44101 Airport View Drive, Hollywood, MD 20636 | 2006-08-31 |
1750549010 | Iram A Khan | Internal Medicine | 24035 Three Notch Road, Hollywood, MD 20636 | 2008-05-22 |
1851473110 | John Elliott Walker | Registered Nurse | 44101 Airport View Drive, Hollywood, MD 20636 | 2006-10-19 |
Find all providers in zip 20636 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083220248 | Myrlene Raquel Isme | Student in an Organized Health Care Education/Training Program | 2209 N 42nd Ave, Hollywood, FL 33021-3519 | 2020-09-22 |
1942814173 | Jennis Royero | Student in an Organized Health Care Education/Training Program | 1836 Arthur St Apt 6, Hollywood, FL 33020-3101 | 2020-09-04 |
1548898257 | Lasheika Williams | Student in an Organized Health Care Education/Training Program | 1001 N 71st Ave, Hollywood, FL 33024-5539 | 2020-03-29 |
1083252126 | Alexis Voke | Student in an Organized Health Care Education/Training Program | 1201 Buchanan St, Hollywood, FL 33019-1020 | 2019-12-19 |
1285277780 | Catherine Berdellans | Student in an Organized Health Care Education/Training Program | 3444 Pierce St, Hollywood, FL 33021-6153 | 2019-10-28 |
1902462989 | Sherryann Hanna Drakes | Student in an Organized Health Care Education/Training Program | 2326 Farragut St, Hollywood, FL 33020-1626 | 2019-05-14 |
1457915894 | Roman Mogilevsky | Student in an Organized Health Care Education/Training Program | 2247 Taylor St Apt 4, Hollywood, FL 33020-4458 | 2019-04-30 |
1497217764 | Rebecca Katz | Student in an Organized Health Care Education/Training Program | 3501 Keyser Ave Apt 42, Hollywood, FL 33021-2402 | 2019-04-04 |
1851853154 | Michal Wrotslavsky | Student in an Organized Health Care Education/Training Program | 4060 N Hills Dr Apt 39, Hollywood, FL 33021-2461 | 2019-04-04 |
1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
Find all providers in HOLLYWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.