Individual
SAMI M AWADALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1417 S. CLIFF AVE, STE. 010, SIOUX FALLS, SD 57105-1014
(605) 322-3666
(605) 322-3665
Mailing address
2400 S. MINNESOTA AVE, STE 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
3446
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008229
BLUE CROSS
SD
01
—
034T5AW
BLUE CROSS
MN
05
—
13414
—
ND
05
—
1976670
—
IA
01
—
24237
ARAZ/ AMERICA'S PPO
SD
01
—
24981
SANFORD HEALTH PLAN
SD
01
—
2500708
MEDICA
SD
05
—
276575600
—
MN
01
—
3446
DAKOTACARE
SD
01
—
370019670
RR MEDICARE
SD
01
—
370624200
DEPT OF LABOR
SD
05
—
46022474339
—
NE
01
—
57105I003
WPS TRICARE
SD
05
—
6002362
—
SD
01
—
722801028065
PREFERRED ONE
SD
01
—
7958
MIDLANDS CHOICE
SD
01
—
HP24496
HEALTHPARTNERS
SD
Enumeration date
02/24/2006
Last updated
12/19/2013
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