MEDICARE: AHMAD SAMER ALAWAD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	ME124843	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	S062-0551	OTHER	MD	CAREFIRST BC/BS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598996415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMAD SAMER ALAWAD MD

Provider Business Mailing Address
First Line	:	PO BOX 946383
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30394-6383
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 MEMORIAL MEDICAL PKWY STE 1-800B
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-5983
Country	:	US
Telephone Number	:	386-586-1970
Fax Number	:	386-586-1971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	04/09/2024

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Directions to “ AHMAD SAMER ALAWAD MD” Practice Location

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