Awad, Sousou Gad

Awad, Sousou Gad is an individual health care provider with primary practice located at 3515 W Union Hills Dr Ste 111 623-243-7842, Glendale AZ 85308-2430. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Awad, Sousou Gad can be contacted via phone (623) 328-8630.

Contact Information

Primary practice address
3515 W Union Hills Dr Ste 111 623-243-7842 Glendale AZ 85308-2430
Phone: (623) 328-8630
Fax: (623) 243-7842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34954 Arizona
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 233802 New York

Profile Details

NPI number 1578631156
LBN Legal business name Awad, Sousou Gad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Mar 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578631156 NPPES
Arizona MEDICAID 239934

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