Awadalla, Maged Ibrahim

Awadalla, Maged Ibrahim is an sole proprietor health care provider with primary practice located at 725 Boardman Canfield Rd Unit O, Youngstown OH 44512-4380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Awadalla, Maged Ibrahim can be contacted via phone (330) 758-7571.

Contact Information

Primary practice address
725 Boardman Canfield Rd Unit O Youngstown OH 44512-4380
Phone: (330) 758-7571
Fax: (330) 758-0010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35067228 Ohio

Profile Details

NPI number 1043281090
LBN Legal business name Awadalla, Maged Ibrahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2006
Last updated Sep 23rd, 2010 - about 15 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 1043281090 NPPES
Ohio MEDICAID 0171068

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