Individual
AMGAD NASHED-AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1985 GRATIOT BLVD, SUITE 2A, MARYSVILLE, MI 48040-2215
(810) 364-5050
(810) 364-5688
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301062666
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4604628
—
MI
01
—
700B510850
BCBS OF MI
MI
Enumeration date
05/11/2006
Last updated
10/24/2011
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