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Individual

DR. MAGED IBRAHIM AWADALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
725 BOARDMAN CANFIELD RD, UNIT O, YOUNGSTOWN, OH 44512-4380
(330) 758-7571
(330) 758-0010
Mailing address
725 BOARDMAN CANFIELD RD, UNIT O, YOUNGSTOWN, OH 44512-4380
(330) 758-7571
(330) 758-0010

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067228
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0171068
OH
Enumeration date
01/29/2006
Last updated
09/23/2010
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