| Mateen A. Awan Md Llc | |
|
10802 Hickory Ridge Rd Columbia MD 21044-3622 | |
| (410) 992-9355 | |
| (410) 992-3447 |
| Full Name | Mateen A. Awan Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10802 Hickory Ridge Rd, Columbia, Maryland |
| Authorized Official Name and Position | Mateen Afzal Awan (DR) |
| Authorized Official Contact | 4109929355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mateen A. Awan Md Llc 10802 Hickory Ridge Rd Columbia MD 21044-3622 Ph: (410) 992-9355 | Mateen A. Awan Md Llc 10802 Hickory Ridge Rd Columbia MD 21044-3622 Ph: (410) 992-9355 |
| NPI Number | 1356560460 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5890719637 |
|---|---|
| Medicare Enrollment ID | O20060119000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356560460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0062634 (Maryland) | Primary |
| Provider Name | Mateen Awan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316918303 PECOS PAC ID: 0446298731 Enrollment ID: I20050812000547 |
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