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Contact Information

AWAN PROFESSIONAL MEDICAL CORP.
1525 WEBSTER ST
SUITE A
FAIRFIELD, CA94533-4997
 Phone: 707-423-2506
 Fax: 707-429-1158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AWAN PROFESSIONAL MEDICAL CORP.

NPI Number 1871811430
LBN Legal business name AWAN PROFESSIONAL MEDICAL CORP.
Authorized official NAJAM AWAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2010
Last updated 05/06/2010 - About 16 years ago
Identifiers
CA License # A26106
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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