Provider Demographics
NPI:1114423381
Name:ALAMERI, AWS MUTHANNA (MD)
Entity type:Individual
Prefix:
First Name:AWS
Middle Name:MUTHANNA
Last Name:ALAMERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AWS
Other - Middle Name:MUTHANNA ABDULGHANI
Other - Last Name:ALAMERI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:573 BLOOM ST APT 201
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-1694
Mailing Address - Country:US
Mailing Address - Phone:346-218-0645
Mailing Address - Fax:
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-4330
Practice Address - Country:US
Practice Address - Phone:570-271-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR78641207RG0100X
PAMD483553207RG0100X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology