MEDICARE: DR. MAZEN 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	207R00000X	Internal Medicine Physician	4301087951	MI
2	207RC0000X	Cardiovascular Disease Physician	0101267538	VA
3	207RC0000X	Cardiovascular Disease Physician	35-122364	OH

General Provider Information

NPI Number	:	1477670834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAZEN AWAIS

Provider Business Mailing Address
First Line	:	85 MCNAUGHTEN RD
Second Line	:	SUITE 300
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2174
Country	:	US
Telephone Number	:	614-224-2281
Fax Number	:	614-221-8869

Provider Business Practice Location Address
First Line	:	5300 N MEADOWS DR STE 280
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2546
Country	:	US
Telephone Number	:	614-627-2000
Fax Number	:	614-221-8869

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

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	04/18/2024

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Directions to “ DR. MAZEN AWAIS ” Practice Location

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