Provider Demographics
NPI:1093125957
Name:TOURAY, AWA (MD)
Entity Type:Individual
Prefix:
First Name:AWA
Middle Name:
Last Name:TOURAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AWA
Other - Middle Name:
Other - Last Name:SABALLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:508-334-1977
Practice Address - Street 1:2420 W PIERCE ST STE 205
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-3518
Practice Address - Country:US
Practice Address - Phone:575-234-9692
Practice Address - Fax:508-334-6490
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA273189207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine