Provider Demographics
NPI:1851890990
Name:AWWAD, JOHNNY T (MD, HCLD (ABB))
Entity Type:Individual
Prefix:DR
First Name:JOHNNY
Middle Name:T
Last Name:AWWAD
Suffix:
Gender:M
Credentials:MD, HCLD (ABB)
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:260 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-3565
Mailing Address - Country:US
Mailing Address - Phone:617-775-4490
Mailing Address - Fax:
Practice Address - Street 1:SIDRA MEDICINE. AL LUQTA ST. EDUCATION CITY NORTH CAMP
Practice Address - Street 2:WOMEN'S SERVICES. OPC3-302.
Practice Address - City:DOHA
Practice Address - State:DOHA
Practice Address - Zip Code:26999
Practice Address - Country:QA
Practice Address - Phone:617-775-4490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-05
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA81302207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology