Mariam Awada, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

4301082433 Issued in MI

Practice address

30603 Southfield Rd
Southfield, MI 48076-7729

Phone

(248) 540-1900

Fax

(248) 540-3700

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michigan Cosmetic & Reconstructive

  • Plastic Surgery Physician
  • Southfield, MI
  • NPI 1699805556
  NPD (past) Authorized official
• Oakwood Ambulatory LLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1003829441

  Plastic Surgery

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114979515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44047",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482440047",
            "telephone_number": "248-540-1900",
            "fax_number": "248-540-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30603 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767729",
            "telephone_number": "248-540-1900",
            "fax_number": "248-540-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWADA",
        "first_name": "MARIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301082433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5315014950",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liska Avey
• Alberto Julian Aviles, M.D.
• Jose Sabasa Aviles IV, DDS
• Marsha Fay Avrushin, LMSW
• Hoda N Awada, PA-C
• Fatin Awanis, DDS PC
• Awc Services PC
• Awesome Home Health Care,LLC
• Awoniyi O Awonuga, MD
• Solomon Chukwuemeka Awusah

• Plastic Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.