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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710934153 NPPES
Arkansas MEDICAID 107031001
Arkansas MEDICAID 1514379
Arkansas MEDICAID 8785559

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