MEDICARE: DR. FARRUKH T AWAN M.D., M.S.

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
1	207RH0003X	Hematology & Oncology Physician	062180	GA
2	207RH0003X	Hematology & Oncology Physician	35122112	OH
3	207RH0003X	Hematology & Oncology Physician	R8311	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	R8311	OTHER	TX	TEXAS MEDICAL LICENSE

General Provider Information

NPI Number	:	1942424528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARRUKH T AWAN M.D., M.S.

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7208
Country	:	US
Telephone Number	:	214-645-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 HARRY HINES BLVD MAIL CODE 8565
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390
Country	:	US
Telephone Number	:	214-645-4673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	11/21/2018

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