Provider Demographics
NPI:1285698902
Name:DARWISH, FOUAD (MD OB GYN)
Entity type:Individual
Prefix:MR
First Name:FOUAD
Middle Name:
Last Name:DARWISH
Suffix:
Gender:M
Credentials:MD OB GYN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 TIMBERLAKE WAY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823
Mailing Address - Country:US
Mailing Address - Phone:916-423-3084
Mailing Address - Fax:916-689-7736
Practice Address - Street 1:8120 TIMBERLAKE WAY
Practice Address - Street 2:SUITE 208
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823
Practice Address - Country:US
Practice Address - Phone:916-423-3084
Practice Address - Fax:916-689-7736
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA27417207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOA342260Medicaid
A27417Medicare UPIN
CAA27417Medicare ID - Type Unspecified