| Ibrahim Awawdeh, MD | |
|
2340 Katy Ln, Poplar Bluff, MO 63901-2300 | |
| (573) 290-3293 | |
| (669) 280-5057 |
| Full Name | Ibrahim Awawdeh |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 2340 Katy Ln, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184109209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2018025505 (Missouri) | Secondary |
| 208000000X | Pediatrics | 2018025505 (Missouri) | Secondary |
| 208D00000X | General Practice | 2018025505 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ibrahim Awawdeh, MD 2340 Katy Ln, Poplar Bluff, MO 63901-2300 Ph: (216) 767-3616 | Ibrahim Awawdeh, MD 2340 Katy Ln, Poplar Bluff, MO 63901-2300 Ph: (573) 290-3293 |
Dr. Martha J Margreiter, MD General Practice Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5500 | |
Dr. Derry Dean Dye Jr., MD General Practice Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599 |