Al-Awabdy, Basil S
Al-Awabdy, Basil S is an individual health care provider with primary practice located at 488 Kennesaw Ave Nw Suite 200, Marietta GA 30060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Al-Awabdy, Basil S can be contacted via phone (770) 427-3075.Contact Information
Primary practice address
488 Kennesaw Ave Nw Suite 200
Marietta GA 30060
Phone: (770) 427-3075
Fax: (770) 427-3261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 068427 | Georgia |
Profile Details
| NPI number | 1134336332 |
|---|---|
| LBN Legal business name | Al-Awabdy, Basil S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Sep 5th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134336332 | NPPES |
| Georgia | MEDICAID | 003126066A |
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