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NPI Code Detail

MEDICARE: AHMED M AWAD

MEDICARE: AHMED M AWAD
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
1208000000XPediatrics PhysicianV8458TX
22084E0001XEpilepsy PhysicianV8458TX
32084N0402XNeurology with Special Qualifications in Child Neurology PhysicianV8458TX

General Provider Information

NPI Number : 1710402847
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMED M AWAD
Provider Business Mailing Address
First Line : 1 BROOKDALE PLZ
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 214-590-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2017
Last Update Date : 04/30/2026

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