Provider Demographics
NPI:1235806522
Name:AWAH, GEORGE ADAMU
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:ADAMU
Last Name:AWAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3504 HUBBARD RD APT 102
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2068
Mailing Address - Country:US
Mailing Address - Phone:804-887-9270
Mailing Address - Fax:
Practice Address - Street 1:3504 HUBBARD RD APT 102
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-2068
Practice Address - Country:US
Practice Address - Phone:804-887-9270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant