Individual
DR. SOUSOU GAD AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3515 W UNION HILLS DR STE 111, 623-243-7842, GLENDALE, AZ 85308-2430
(623) 328-8630
(623) 243-7842
Mailing address
3515 W UNION HILLS DR STE 111, 623-243-7842, GLENDALE, AZ 85308-2430
(623) 328-8630
(623) 243-7842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34954
AZ
207UN0901X
Nuclear Cardiology Physician
233802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239934
—
AZ
Enumeration date
12/01/2006
Last updated
03/02/2017
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