Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 3446 | SD |
NPI | 1265408728 |
---|---|
Provider Name | Sami M Awadallah |
First Address | Sioux Falls, SD 57105-3762 |
Second Address | Sioux Falls, SD 57105-1014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 19/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0008229 | BLUE CROSS (01) | SD |
034T5AW | BLUE CROSS (01) | MN |
034T5AW | CC SYSTEMS/ BLUE PLUS (01) | MN |
13414 | (05) | ND |
1976670 | (05) | IA |
24237 | ARAZ/ AMERICA'S PPO (01) | SD |
24981 | SANFORD HEALTH PLAN (01) | SD |
2500708 | MEDICA (01) | SD |
276575600 | (05) | MN |
3446 | DAKOTACARE (01) | SD |
370019670 | RR MEDICARE (01) | SD |
370624200 | DEPT OF LABOR (01) | SD |
46022474339 | (05) | NE |
57105I003 | WPS TRICARE (01) | SD |
6002362 | (05) | SD |
722801028065 | PREFERRED ONE (01) | SD |
7958 | MIDLANDS CHOICE (01) | SD |
F03821 | (02) | SD |
HP24496 | HEALTHPARTNERS (01) | SD |