Provider Demographics
NPI:1831843408
Name:AWADA, RABAB SAAB
Entity type:Individual
Prefix:MISS
First Name:RABAB
Middle Name:SAAB
Last Name:AWADA
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:RABAB
Other - Middle Name:JAMIL
Other - Last Name:AWADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RABAB AWADA
Mailing Address - Street 1:7529 STEADMAN ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1373
Mailing Address - Country:US
Mailing Address - Phone:313-627-1032
Mailing Address - Fax:
Practice Address - Street 1:29451 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2112
Practice Address - Country:US
Practice Address - Phone:734-793-0638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5303040937183700000X
MI5302416974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No183700000XPharmacy Service ProvidersPharmacy Technician