Healthcare Provider Details

I. General information

NPI: 1114889698
Provider Name (Legal Business Name): RAMA AWAD
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 CALIFORNIA ST STE 1400
SAN FRANCISCO CA
94104-2116
US

IV. Provider business mailing address

1221 W 16TH ST
HOUSTON TX
77008-6589
US

V. Phone/Fax

Practice location:
  • Phone: 212-589-2700
  • Fax:
Mailing address:
  • Phone: 713-897-9752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: