MEDICARE: SHEHAR BANO AWAIS

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	207Q00000X	Family Medicine Physician	MT228393	PA
2	208M00000X	Hospitalist Physician	MD494387	PA

General Provider Information

NPI Number	:	1437836160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEHAR BANO AWAIS

Provider Business Mailing Address
First Line	:	320 E NORTH AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4756
Country	:	US
Telephone Number	:	412-359-3030
Fax Number	:	412-359-3060

Provider Business Practice Location Address
First Line	:	30 N 4TH ST
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17046-5606
Country	:	US
Telephone Number	:	717-274-0474
Fax Number	:

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

Provider Enumeration Date	:	07/04/2023
Last Update Date	:	03/17/2026

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Directions to “ SHEHAR BANO AWAIS ” Practice Location

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