Individual
AYMAN NICHOLAS AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1944 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5729
(928) 505-9729
Mailing address
PO BOX 6059, MESA, AZ 85216-6059
(480) 985-1093
(480) 985-0468
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20281
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470000882
RAIL ROAD MEDICARE
AZ
Enumeration date
07/07/2006
Last updated
05/22/2013
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