Provider Demographics
NPI:1255402418
Name:AWAH, GEORGES CHI (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:GEORGES
Middle Name:CHI
Last Name:AWAH
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 IRVING ST NW
Mailing Address - Street 2:410
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2927
Mailing Address - Country:US
Mailing Address - Phone:202-877-5122
Mailing Address - Fax:202-723-3703
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:410
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-877-5122
Practice Address - Fax:202-723-3703
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD20414207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AS99126240001OtherCIGNA VENDOR NUMBER
03175OtherAMERIGROUP PROVIDER NUMBE
0401649OtherUNITED HEALTH CARE
858455MD2OtherM.D. IPA VENDOR NUMBER
4634 0001OtherBCBS PROVIDER NUMBER
806661Medicare ID - Type Unspecified
4634 0001OtherBCBS PROVIDER NUMBER