Individual provider · Type 1 NPI

Basil Awawdeh, D.P.M

Foot & Ankle Surgery Podiatrist · Wyandotte, MI

NPI number 1619400694 Active

Practice location

1628 Ford Ave
Wyandotte, MI 48192-2304

Mailing address

506 6th St
Brooklyn, NY 11215-3609

Other practice locations

  • 506 6th St, Brooklyn, NY 11215-3609 · (718) 780-3000

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X5901400374 (MI)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1619400694

Basil Awawdeh, D.P.M's National Provider Identifier is 1619400694, issued on Apr 6, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Wyandotte, MI. The record was last updated on Jun 8, 2020.