Provider Demographics
NPI:1881896645
Name:AWDISH, RANA LEE (MD)
Entity type:Individual
Prefix:DR
First Name:RANA
Middle Name:LEE
Last Name:AWDISH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:RANA
Other - Middle Name:LEE
Other - Last Name:ADAWI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2799 WEST GRAND BOULEVARD
Mailing Address - Street 2:PULMONARY K-17 HENRY FORD
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202
Mailing Address - Country:US
Mailing Address - Phone:313-916-2421
Mailing Address - Fax:313-916-9102
Practice Address - Street 1:HENRY FORD HOSPITAL
Practice Address - Street 2:2799 WEST GRAND BOULEVARD
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-2421
Practice Address - Fax:313-916-9102
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301085484207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease