Awdeh, Mahir R
Awdeh, Mahir R is an individual health care provider with primary practice located at 6005 Park Avenue Suite 500 B, Memphis TN 38119-5215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Awdeh, Mahir R can be contacted via phone (901) 683-6925.Contact Information
Primary practice address
6005 Park Avenue Suite 500 B
Memphis TN 38119-5215
Phone: (901) 683-6925
Fax: (901) 684-1435
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 10521 | Tennessee |
Profile Details
NPI number | 1710934153 |
---|---|
LBN Legal business name | Awdeh, Mahir R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2006 |
Last updated | Nov 30th, 2021 - about 3 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 | 1710934153 | NPPES |
Arkansas | MEDICAID | 107031001 | |
Arkansas | MEDICAID | 1514379 | |
Arkansas | MEDICAID | 8785559 |
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