Provider Demographics
NPI:1306282801
Name:KIMAWI, ABDULAZIZ (DPM)
Entity type:Individual
Prefix:DR
First Name:ABDULAZIZ
Middle Name:
Last Name:KIMAWI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34509 9TH AVE S STE 306
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8710
Mailing Address - Country:US
Mailing Address - Phone:206-242-5293
Mailing Address - Fax:253-944-4004
Practice Address - Street 1:34509 9TH AVE S STE 306
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8710
Practice Address - Country:US
Practice Address - Phone:206-242-5293
Practice Address - Fax:253-944-4004
Is Sole Proprietor?:No
Enumeration Date:2013-05-12
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP060649660213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery