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Individual
MAZEN K ABUAWAD
Active
Individual
MAZEN K ABUAWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2002008173
MO
2085R0204X
Vascular & Interventional Radiology Physician
036104926
IL
2085R0204X
Vascular & Interventional Radiology Physician
2002008173
MO
2085R0204X
Vascular & Interventional Radiology Physician
21175
NE
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME110783
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008389900
—
FL
01
—
112315
HEALTHLINK
—
01
—
140376000
DEPT. OF LABOR
—
01
—
1602023
UHC
—
01
—
1765
BCBS
MO
05
—
205896608
—
MO
01
—
431142188OSU
MERCY
—
01
—
4964V4964
GHP
—
01
—
P00134160
TRAVELERS
—
Enumeration date
12/05/2005
Last updated
01/13/2023
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