MEDICARE: IHAB RAFIK AWAD M.D.

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
1	208800000X	Urology Physician	197579	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649254178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IHAB RAFIK AWAD M.D.

Provider Business Mailing Address
First Line	:	1655 WARWICK RD
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-1832
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7844 METROPOLITAN AVE
Second Line	:
City	:	MIDDLE VILLAGE
State	:	NY
Zip	:	11379-2966
Country	:	US
Telephone Number	:	516-830-5444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	07/22/2021

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