Awada, Mariam

Awada, Mariam is an individual health care provider with primary practice located at 30603 Southfield Rd , Southfield MI 48076-7729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Awada, Mariam can be contacted via phone (248) 540-1900.

Contact Information

Primary practice address
30603 Southfield Rd Southfield MI 48076-7729
Fax: (248) 540-3700
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 4301082433 Michigan

Profile Details

NPI number 1114979515
LBN Legal business name Awada, Mariam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114979515 NPPES
Michigan Other 5315014950 LICENSE

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