Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Basil Awawdeh, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1619400694

Basil Awawdeh, DPM is a Podiatry in Wyandotte, Michigan. Graduated from Kent State University College of Podiatric Medicine in 2017, 9 years ago. Practices with Foot and Ankle Associates Clinic PLLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Trained at
Kent State University College of Podiatric Medicine
Licensed in
MI
In the registry since
2017
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1628 Ford Ave
Wyandotte, MI 48192-2304
Phone: (734) 284-1333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 506 6th St, Brooklyn, NY 11215-3609 — (718) 780-3000

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 5901400374 (MI)

Record details

NPI number1619400694
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 6, 2017
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020
Mailing address506 6th St, Brooklyn, NY 11215-3609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Foot And Ankle Associates Clinic Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Wyandotte