Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOHAMAD MOUTAZ ALMAWALDI, MD
ActiveNephrology · LAKEPORT, CA
Registration Details
- NPI Number
- 1750390027
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2006 (19.777503166152 yrs)
- Last Updated
- Jun 30, 2017
- Licenses
-
35-03-2783 (OH)A49796 (CA)
Practice Information
- Address
-
5120 HILL RD ELAKEPORT, CA, 954536300Browse CA providers · Browse ZIP 95453
- Phone
- 7072634766
- Fax
- 7072634771
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.