NPI 1619400694 · live from the CMS NPI Registry
Basil Awawdeh, D.P.M
Podiatrist, Foot & Ankle Surgery in Wyandotte, MI. National Provider Identifier 1619400694, active.
NPI record
| NPI | 1619400694 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1628 Ford Ave, Wyandotte, MI 48192 |
| Practice phone | 734-284-1333 |
| Mailing address | 506 6th St, Brooklyn, NY 11215 |
| Enumerated | April 6, 2017 |
| Last updated | June 8, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 5901400374 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.