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1063088946

NPI Code Detail

MEDICARE: AWAIS KHAN MD

MEDICARE: AWAIS KHAN MD

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	208D00000X	General Practice Physician	198885	CA
2	208600000X	Surgery Physician	35.154546	OH
3	207P00000X	Emergency Medicine Physician	35.154546	OH
4	208D00000X	General Practice Physician	4301515402	MI
5	208D00000X	General Practice Physician	35.154546	OH

General Provider Information

NPI Number	:	1063088946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AWAIS KHAN MD

Provider Business Mailing Address
First Line	:	50 PUBLIC SQ APT 512
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-2227
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:	216-844-3722
Fax Number	:

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

Provider Enumeration Date	:	06/01/2021
Last Update Date	:	06/03/2026

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Directions to “ AWAIS KHAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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