Ibrahim Awawdeh, MD in Poplar Bluff, MO - General Practice

Ibrahim Awawdeh, MD is a General Practice physician based in Poplar Bluff, Missouri. Ibrahim Awawdeh is licensed to practice in Missouri (license number 2018025505) and his current practice location is 2340 Katy Ln, Poplar Bluff, Missouri. He can be reached at his office (for appointments etc.) via phone at (573) 290-3293.

NPI number for Ibrahim Awawdeh is 1184109209 and his current mailing address is 2340 Katy Ln, Poplar Bluff, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184109209.

Contact Information

	Ibrahim Awawdeh, MD
	2340 Katy Ln, Poplar Bluff, MO 63901-2300
	(573) 290-3293
	(669) 280-5057

Physician's Profile

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.

NPI Data:

NPI Number: 1184109209
Provider Enumeration Date: 09/25/2018
Last Update Date: 08/21/2021

Medical Identifiers

Medical identifiers for Ibrahim Awawdeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184109209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2018025505 (Missouri)	Secondary
208000000X	Pediatrics	2018025505 (Missouri)	Secondary
208D00000X	General Practice	2018025505 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ibrahim Awawdeh is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

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General Practice Doctors in Poplar Bluff, MO

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

Ibrahim Awawdeh, MD - General Practice in Poplar Bluff, MO