Provider Demographics
NPI:1477707164
Name:ALAWAMI, EBAA MOHAMMED (MD)
Entity Type:Individual
Prefix:DR
First Name:EBAA
Middle Name:MOHAMMED
Last Name:ALAWAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:248 PLEASANT ST STE 2800
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7529
Mailing Address - Country:US
Mailing Address - Phone:603-415-6464
Mailing Address - Fax:603-227-7576
Practice Address - Street 1:248 PLEASANT ST STE 2800
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-7529
Practice Address - Country:US
Practice Address - Phone:603-415-6464
Practice Address - Fax:603-227-7576
Is Sole Proprietor?:No
Enumeration Date:2008-11-08
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237577208600000X
NH18299207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No208600000XAllopathic & Osteopathic PhysiciansSurgery