Healthcare Provider Details

I. General information

NPI: 1861353377
Provider Name (Legal Business Name): AWEYS HABIB
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 MARTIN LUTHER KING JR PKWY
DES MOINES IA
50310-6166
US

IV. Provider business mailing address

2500 MARTIN LUTHER KING JR PKWY
DES MOINES IA
50310-6166
US

V. Phone/Fax

Practice location:
  • Phone: 515-771-8574
  • Fax:
Mailing address:
  • Phone: 515-771-8574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: