Provider Demographics
NPI:1235665647
Name:AWAN, MOHAMMAD BILAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:BILAL
Last Name:AWAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4600 MILITARY RD STE A
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14305-1338
Mailing Address - Country:US
Mailing Address - Phone:716-298-4050
Mailing Address - Fax:716-298-4098
Practice Address - Street 1:4600 MILITARY RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-1338
Practice Address - Country:US
Practice Address - Phone:716-298-4050
Practice Address - Fax:716-298-4098
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-04
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY305455-01207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine