Basic Information
| Provider Information | |||||||||
| NPI: | 1740281153 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EL-MAGBRI | ||||||||
| FirstName: | AWAD | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 RIVERFRONT DR | ||||||||
| Address2: | APT.# 3106 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152383139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124067267 | ||||||||
| FaxNumber: | 4124067267 | ||||||||
| Practice Location | |||||||||
| Address1: | 5171 LIBERTY AVE | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152242254 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126834550 | ||||||||
| FaxNumber: | 1800886870 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2005 | ||||||||
| LastUpdateDate: | 06/08/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 036113447 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1616108 | 01 | IL | BCBS | OTHER |