Provider Demographics
NPI:1700101334
Name:GEORGES C. AWAH, MD, PHD, PC
Entity Type:Organization
Organization Name:GEORGES C. AWAH, MD, PHD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGES
Authorized Official - Middle Name:C
Authorized Official - Last Name:AWAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:202-877-5122
Mailing Address - Street 1:106 IRVING ST NW
Mailing Address - Street 2:410
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2927
Mailing Address - Country:US
Mailing Address - Phone:202-877-5122
Mailing Address - Fax:202-723-3703
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:410
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-877-5122
Practice Address - Fax:202-723-3703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD20414207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty