MEDICARE: KANWAL SHAHZADI 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
1	208M00000X	Hospitalist Physician	D0071644	MD
2	207R00000X	Internal Medicine Physician	D0071644	MD

General Provider Information

NPI Number	:	1902067960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANWAL SHAHZADI AWAN MD

Provider Business Mailing Address
First Line	:	8901 ROCKVILLE PIKE BLDG 10
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 ROCKVILLE PIKE BLDG 10
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-0001
Country	:	US
Telephone Number	:	301-295-4000
Fax Number	:

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

Provider Enumeration Date	:	06/23/2008
Last Update Date	:	12/09/2025

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