Awawdeh, Ibrahim

Awawdeh, Ibrahim is an individual health care provider with primary practice located at 2340 Katy Ln , Poplar Bluff MO 63901-2300. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Awawdeh, Ibrahim can be contacted via phone (573) 290-3293.

Contact Information

Primary practice address
2340 Katy Ln Poplar Bluff MO 63901-2300
Phone: (573) 290-3293
Fax: (669) 280-5057
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2018025505 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2018025505 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2018025505 Missouri

Profile Details

NPI number 1184109209
LBN Legal business name Awawdeh, Ibrahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2018
Last updated Aug 21st, 2021 - about 4 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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