Bassam Awwa, MD
Psychiatry & Neurology, Psychiatry in New London, Connecticut
1881774354- Practice location
- 41 Fair Harbour Pl, New London, CT 06320-4710
- Phone
- 860-437-6914
- Fax
- 860-437-6920
- Last updated
- September 27, 2021
Bassam Awwa is a Psychiatry & Neurology, Psychiatry based in New London, CT. Bassam Awwa practices in New London, CT and has the professional credentials of MD. The NPI Number for Bassam Awwa is 1881774354 and holds a License No. 24399 (CT). The current practice location address for Bassam Awwa is 41 Fair Harbour Pl, New London, CT 06320-4710 and can be reached out via phone at 860-437-6914 and via fax at 860-437-6920.
Provider Profile Details
- NPI Number
- 1881774354
- Provider Name
- Bassam Awwa
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 41 Fair Harbour Pl, New London, CT 06320-4710
- Phone Number
- 860-437-6914
- Fax Number
- 860-437-6920
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 17, 2006
- Last Update Date
- September 27, 2021
- Certification Date
- September 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 41 Fair Harbour Pl
New London, CT 06320-4710 - City
- New London
- State
- Connecticut
- Zip
- 06320-4710
- Phone Number
- 860-437-6914
- Fax Number
- 860-437-6920
Provider Business Mailing Address Details
- Address
- 41 Fair Harbour Pl
New London, CT 06320-4710 - City
- New London
- State
- CT
- Zip
- 06320-4710
- Phone Number
- 860-437-6914
- Fax Number
- 860-437-6921
License Information
- License Number (1)
- 24399
- License State (1)
- CT
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- 024399
- License State (2)
- CT
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bassam Awwa, MD?
The NPI number of Bassam Awwa, MD is 1881774354. It was assigned on October 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Bassam Awwa, MD?
Bassam Awwa, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 24399.
Where does Bassam Awwa, MD practice?
The practice location is 41 Fair Harbour Pl, New London, CT 06320-4710. The office can be reached at 860-437-6914 (phone) or 860-437-6920 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881774354 directly on the NPPES registry website.