Physician Compare National (NPI:1073578753)

HEALTHCARE PROVIDER: AMJAD NAEEM AWAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1073578753
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709775513
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040505000720
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AWAN
	Individual professional last name
Provider First Name	AMJAD
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3323 COLORADO BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105
	Group Practice or individual's line 2 address
City	DENTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	762106895
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9402430912
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450634
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CITY DENTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450669
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CENTER OF LEWISVILLE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450743
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450090
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NORTH TEXAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y