Provider Demographics
NPI:1295260735
Name:AOUAD, PASCALE JOSEPH (MD)
Entity type:Individual
Prefix:MRS
First Name:PASCALE
Middle Name:JOSEPH
Last Name:AOUAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 E HURON ST STE 4-710
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2908
Mailing Address - Country:US
Mailing Address - Phone:312-695-4965
Mailing Address - Fax:312-926-0826
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-2412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2024-09-24
Deactivation Date:2017-11-27
Deactivation Code:
Reactivation Date:2017-12-28
Provider Licenses
StateLicense IDTaxonomies
TXV20152085R0202X, 2085N0700X
IL125.0697912085R0202X
IL0361516032085R0202X
IL1250697912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology