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NPI Code Detail

MEDICARE: DR. SANWAL AWAN MD

MEDICARE: DR. SANWAL AWAN 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
1390200000XStudent in an Organized Health Care Education/Training ProgramA206309CA

General Provider Information

NPI Number : 1801655030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANWAL AWAN MD
Provider Business Mailing Address
First Line : 4445 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-4135
Country : US
Telephone Number : 951-495-9994
Fax Number :
Provider Business Practice Location Address
First Line : 4445 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-4135
Country : US
Telephone Number : 951-495-9994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 03/09/2026

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Directions to “ DR. SANWAL AWAN MD” Practice Location

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