Awada, Sam H

Awada, Sam H is an individual health care provider with primary practice located at 12640 E 12 Mile Rd , Warren MI 48093-3520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Awada, Sam H can be contacted via phone (586) 751-2020.

Contact Information

Primary practice address
12640 E 12 Mile Rd Warren MI 48093-3520
Phone: (586) 751-2020
Fax: (586) 745-4756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301079394 Michigan

Profile Details

NPI number 1811984594
LBN Legal business name Awada, Sam H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Feb 15th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811984594 NPPES
Michigan MEDICAID 4905372
Michigan MEDICAID 4692522
Michigan Other 700E018250

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