Yazan Mohammad Ahmad Abuawad, M.D.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wellington, FL
NPI 1043064736 · NPPES record last updated Nov 1, 2024
Key facts
- NPI
- 1043064736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 10101 Forest Hill Boulevard
Wellington, FL 33414 - Phone
- (561) 472-2583
- NPI assigned
- Apr 17, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240822000388 | FL | Order and Referring Only - Internal Medicine |
1658810668 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
10101 Forest Hill Boulevard
Wellington, FL 33414
Mailing address
10101 Forest Hill Boulevard
Wellington, FL 33414
Phone (561) 472-2583
Other providers in Wellington, FL
- Helen Abdal
- Robert J Abiusi
- Abl Therapy Services, LLC
- Saad Abouchadi
- Yvonne Abraham
- Cristina Abuchaibe
- Ezdehar Abukhalil
- Abundant Care Residence LLC
- Accountable Care Hospitalist Group
- Accountable Care Post Acute Providers
All providers in Wellington, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.