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NPI Code Detail

MEDICARE: KRISTINA AWAN

MEDICARE: KRISTINA AWAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083A0300XAddiction Medicine (Preventive Medicine) Physician337352NY
2207P00000XEmergency Medicine Physician337352NY
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1780326025
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA AWAN
Provider Business Mailing Address
First Line : 6062 NIAGARA FALLS CV
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-3724
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2950 ELMWOOD AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14217-1304
Country : US
Telephone Number : 716-447-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2022
Last Update Date : 06/26/2026

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Directions to “ KRISTINA AWAN ” Practice Location

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