Provider Demographics
NPI:1952346231
Name:AWADH, BASEM (MD)
Entity type:Individual
Prefix:
First Name:BASEM
Middle Name:
Last Name:AWADH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9743 BOOTH AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64134-1873
Mailing Address - Country:US
Mailing Address - Phone:816-716-0191
Mailing Address - Fax:
Practice Address - Street 1:3901 RAINBOW BLVD # MS -2026
Practice Address - Street 2:KU MEDICAL CENTER
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6009
Practice Address - Fax:913-588-3987
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2012-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS94-06504207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology