Provider Demographics
NPI:1588732754
Name:TAWFIK, NAJI H (MD, PHD, FRCPC, FAAD)
Entity type:Individual
Prefix:
First Name:NAJI
Middle Name:H
Last Name:TAWFIK
Suffix:
Gender:M
Credentials:MD, PHD, FRCPC, FAAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9010
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:7516 EAGLE CREST BLVD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-9142
Practice Address - Country:US
Practice Address - Phone:812-401-8999
Practice Address - Fax:812-401-8333
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01044950207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology