Provider Demographics
NPI:1659122455
Name:AWAD, CHARBEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARBEL
Middle Name:
Last Name:AWAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FANAR 81
Mailing Address - Street 2:
Mailing Address - City:FANAR
Mailing Address - State:MOUNT LEBANON
Mailing Address - Zip Code:00000
Mailing Address - Country:LB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:FANAR 81
Practice Address - Street 2:
Practice Address - City:FANAR
Practice Address - State:MOUNT LEBANON
Practice Address - Zip Code:00000
Practice Address - Country:LB
Practice Address - Phone:961-732-9876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program