Provider Demographics
NPI:1437617099
Name:MUWANAS, NAJI (DO)
Entity type:Individual
Prefix:DR
First Name:NAJI
Middle Name:
Last Name:MUWANAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5407 LEMORAN AVE
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-2909
Mailing Address - Country:US
Mailing Address - Phone:562-489-6686
Mailing Address - Fax:
Practice Address - Street 1:815 W OVERLAND RD
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-4261
Practice Address - Country:US
Practice Address - Phone:562-489-6686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-03
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19984207Q00000X
AZ010788207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine