Provider Demographics
NPI:1386873172
Name:SAWAN, CARLA (MD)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:
Last Name:SAWAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 WALNUT ST
Mailing Address - Street 2:APT. 1105
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-5405
Mailing Address - Country:US
Mailing Address - Phone:215-317-5420
Mailing Address - Fax:
Practice Address - Street 1:3400 CIVIC CENTER BLVD FL 12
Practice Address - Street 2:DIVISION OF ENDOCRINOLOGY AND METABOLISM
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5160
Practice Address - Country:US
Practice Address - Phone:215-746-6391
Practice Address - Fax:215-898-5408
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program