Provider Demographics
NPI:1437348877
Name:AWARI, YAHYA (DC)
Entity Type:Individual
Prefix:
First Name:YAHYA
Middle Name:
Last Name:AWARI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 RATZER RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3728
Mailing Address - Country:US
Mailing Address - Phone:973-696-0545
Mailing Address - Fax:973-696-0950
Practice Address - Street 1:835 RATZER RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3728
Practice Address - Country:US
Practice Address - Phone:973-696-0545
Practice Address - Fax:973-696-0950
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00544600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0058092Medicaid
NJ028099Medicare UPIN