Provider Demographics
NPI:1124226899
Name:AWAN, RINA NAZIR (MD)
Entity Type:Individual
Prefix:MISS
First Name:RINA
Middle Name:NAZIR
Last Name:AWAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5517 SCHUMACHER LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-6811
Mailing Address - Country:US
Mailing Address - Phone:312-543-9613
Mailing Address - Fax:832-203-7436
Practice Address - Street 1:12121 RICHMOND AVE STE 103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2420
Practice Address - Country:US
Practice Address - Phone:832-776-1621
Practice Address - Fax:832-203-7436
Is Sole Proprietor?:No
Enumeration Date:2007-07-04
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258742207RP1001X
TX38065703207RP1001X
TXP7607207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6632320Medicaid
SDS103728OtherMEDICARE
TX3378440-02Medicaid
SD6632320Medicaid