Healthcare Provider Details

I. General information

NPI: 1528355070
Provider Name (Legal Business Name): MILIND SUMANT AWALE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2011
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PARK
WHEELING WV
26003-6300
US

IV. Provider business mailing address

1 MEDICAL PARK
WHEELING WV
26003-6300
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-2981
  • Fax: 304-243-3964
Mailing address:
  • Phone: 304-243-2981
  • Fax: 304-243-3964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35.132649
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25644
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: