Healthcare Provider Details

I. General information

NPI: 1790609675
Provider Name (Legal Business Name): MUHAMMAD ABDULLAH AWAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32060 LONG NECK ROAD
MILLSBORO DE
19966-6228
US

IV. Provider business mailing address

24351 ZINFANDEL LANE UNIT 305
LEWES DE
19958
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-3150
  • Fax:
Mailing address:
  • Phone: 302-381-8973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: