Basic Information
| Provider Information | |||||||||
| NPI: | 1245768365 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALLAWI | ||||||||
| FirstName: | AHMED | ||||||||
| MiddleName: | ISAM ABED | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2415 N ORANGE AVE STE 300 | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328045505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073032615 | ||||||||
| FaxNumber: | 4073030415 | ||||||||
| Practice Location | |||||||||
| Address1: | 2415 N ORANGE AVE STE 300 | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328045505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073032615 | ||||||||
| FaxNumber: | 4073030415 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2017 | ||||||||
| LastUpdateDate: | 11/11/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 51134 | SC | N | Allopathic & Osteopathic Physicians | Surgery | 208C00000X | 66769 | MN | N | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | 208C00000X | ME151098 | FL | Y | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery |
No ID Information.