Provider Demographics
NPI:1568169944
Name:AWAREMED INFUSION CENTER
Entity Type:Organization
Organization Name:AWAREMED INFUSION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOURY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-529-3591
Mailing Address - Street 1:1604 LAMONS LN STE 202
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-5290
Mailing Address - Country:US
Mailing Address - Phone:423-529-3139
Mailing Address - Fax:423-723-8479
Practice Address - Street 1:1604 LAMONS LN STE 202
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-5290
Practice Address - Country:US
Practice Address - Phone:423-529-3139
Practice Address - Fax:423-723-8479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty