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NPI Code Detail

MEDICARE: DR. OBAID UR REHMAN AWAN MD

MEDICARE: DR. OBAID UR REHMAN 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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician51385TN
2207RP1001XPulmonary Disease Physician51385TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831385780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OBAID UR REHMAN AWAN MD
Provider Business Mailing Address
First Line : 965 RIDGE LAKE BLVD STE 315
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-9401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2120 EXETER RD STE 250
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-3931
Country : US
Telephone Number : 901-767-5864
Fax Number : 901-767-6591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2007
Last Update Date : 06/03/2022

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