Provider Demographics
NPI:1326448531
Name:AWAIS K HUMAYUN MD PA
Entity Type:Organization
Organization Name:AWAIS K HUMAYUN MD PA
Other - Org Name:HEART RHYTHM SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ELECTROPHYSIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AWAIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:HUMAYUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-707-5200
Mailing Address - Street 1:4801 S UNIVERSITY DR STE 104
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3835
Mailing Address - Country:US
Mailing Address - Phone:954-707-5200
Mailing Address - Fax:954-526-4562
Practice Address - Street 1:4801 S UNIVERSITY DR STE 104
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3835
Practice Address - Country:US
Practice Address - Phone:954-707-5200
Practice Address - Fax:954-526-4562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78681207RC0000X, 207RC0001X
207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113730500Medicaid
FL1346288768OtherINDIVIDUAL NPI# FOR AWAIS K HUMAYUN
FL269706800OtherINDIVIDUAL MEDICAID # FOR AWAIS K HUMAYUN
FL269706800OtherINDIVIDUAL MEDICAID # FOR AWAIS K HUMAYUN
FLIB659AMedicare PIN
FL019202600Medicaid