Provider Demographics
NPI:1487092128
Name:AWADALLAH, SAED FATHI (MD)
Entity type:Individual
Prefix:
First Name:SAED
Middle Name:FATHI
Last Name:AWADALLAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1725 E 19TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5422
Mailing Address - Country:US
Mailing Address - Phone:918-403-7056
Mailing Address - Fax:918-744-2946
Practice Address - Street 1:1725 E 19TH ST STE 200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5419
Practice Address - Country:US
Practice Address - Phone:918-748-8381
Practice Address - Fax:918-403-6328
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2021-11-24
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Provider Licenses
StateLicense IDTaxonomies
NE31863207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease