Provider Demographics
NPI:1184053183
Name:ALAWIE, ABDUL (NP)
Entity type:Individual
Prefix:MR
First Name:ABDUL
Middle Name:
Last Name:ALAWIE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 AKRON ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48120-1523
Mailing Address - Country:US
Mailing Address - Phone:313-492-1791
Mailing Address - Fax:
Practice Address - Street 1:2721 AKRON ST
Practice Address - Street 2:2721 AKRON
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48120-1523
Practice Address - Country:US
Practice Address - Phone:313-492-1791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-11
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704260524363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily