Healthcare Provider Details

I. General information

NPI: 1326996497
Provider Name (Legal Business Name): DOOR STEP PODIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 E EISENHOWER PKWY STE 300
ANN ARBOR MI
48108-3324
US

IV. Provider business mailing address

455 E EISENHOWER PKWY STE 300
ANN ARBOR MI
48108-3324
US

V. Phone/Fax

Practice location:
  • Phone: 734-252-9618
  • Fax: 734-545-8645
Mailing address:
  • Phone: 734-252-9618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: BASIL AWAWDEH
Title or Position: OWNER
Credential: D.P.M
Phone: 734-252-9618