Provider Demographics
NPI:1740281153
Name:EL-MAGBRI, AWAD A (MD)
Entity type:Individual
Prefix:
First Name:AWAD
Middle Name:A
Last Name:EL-MAGBRI
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 1:501 RIVERFRONT DR
Mailing Address - Street 2:APT.# 3106
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3139
Mailing Address - Country:US
Mailing Address - Phone:412-406-7267
Mailing Address - Fax:412-406-7267
Practice Address - Street 1:5171 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2254
Practice Address - Country:US
Practice Address - Phone:412-683-4550
Practice Address - Fax:180-088-6870
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036113447207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1616108OtherBCBS
IL1616108OtherBCBS
ILI18061Medicare UPIN