Individual
MARIAM AWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30603 SOUTHFIELD RD, SOUTHFIELD, MI 48076-7729
(248) 540-1900
(248) 540-3700
Mailing address
PO BOX 44047, DETROIT, MI 48244-0047
(248) 540-1900
(248) 540-3700
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301082433
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315014950
LICENSE
MI
Enumeration date
05/16/2006
Last updated
03/07/2023
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