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NPI Code Detail

MEDICARE: DR. HASAN ABDULREHMAN AWAN M.D

MEDICARE:  DR. HASAN ABDULREHMAN AWAN  M.D
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
1207R00000XInternal Medicine PhysicianD0065861MD

General Provider Information

NPI Number : 1629279120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HASAN ABDULREHMAN AWAN M.D
Provider Business Mailing Address
First Line : 13305 FALLS RD
Second Line :
City : COCKEYSVILLE
State : MD
Zip : 21030-1421
Country : US
Telephone Number : 410-952-9581
Fax Number :
Provider Business Practice Location Address
First Line : 2717 HAMMONDS FERRY RD
Second Line :
City : BALTIMORE
State : MD
Zip : 21227-3138
Country : US
Telephone Number : 410-242-5350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 07/08/2007

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Directions to “ DR. HASAN ABDULREHMAN AWAN M.D” Practice Location

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