Provider Demographics
NPI:1275735037
Name:AWAD, AMER M (MD)
Entity Type:Individual
Prefix:DR
First Name:AMER
Middle Name:M
Last Name:AWAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2647 S SAINT ELIZABETH BLVD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-5021
Mailing Address - Country:US
Mailing Address - Phone:225-647-8511
Mailing Address - Fax:225-644-4206
Practice Address - Street 1:2647 S SAINT ELIZABETH BLVD
Practice Address - Street 2:SUITE 225
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-5021
Practice Address - Country:US
Practice Address - Phone:225-647-8511
Practice Address - Fax:225-644-4206
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.2029562084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2133292Medicaid
LA2133292Medicaid
LA365493YJFFMedicare PIN