| Rabia S Awan Md, Pa | |
|
201 Lyons Ave Ste D-3 Newark NJ 07112-2027 | |
| (739) 268-2289 | |
| (973) 923-2061 |
| Full Name | Rabia S Awan Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Lyons Ave Ste D-3, Newark, New Jersey |
| Authorized Official Name and Position | Rabia Sultana Awan (PRESIDENT) |
| Authorized Official Contact | 9739268228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rabia S Awan Md, Pa 101 Roxy Ave Edison NJ 08820-1939 Ph: (973) 926-8228 | Rabia S Awan Md, Pa 201 Lyons Ave Ste D-3 Newark NJ 07112-2027 Ph: (739) 268-2289 |
| NPI Number | 1659824431 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 10/10/2018 |
| Medicare PECOS PAC ID | 7012295025 |
|---|---|
| Medicare Enrollment ID | O20161026001334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659824431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rabia S Awan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477618866 PECOS PAC ID: 3173435617 Enrollment ID: I20031103000490 |
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