Provider Demographics
NPI:1437512159
Name:AWAN, AREEBA (MD)
Entity Type:Individual
Prefix:
First Name:AREEBA
Middle Name:
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 1:670 GLADES ROAD, SUITE 400
Mailing Address - Street 2:FLORIDA ATLANTIC UNIVERSITY MEDICINE AT BOCA RATON
Mailing Address - City:BOCA
Mailing Address - State:FL
Mailing Address - Zip Code:33431-5035
Mailing Address - Country:US
Mailing Address - Phone:561-955-2570
Mailing Address - Fax:
Practice Address - Street 1:670 GLADES ROAD, SUITE 400
Practice Address - Street 2:FLORIDA ATLANTIC UNIVERSITY MEDICINE AT BOCA RATON
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-5035
Practice Address - Country:US
Practice Address - Phone:561-955-2570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL390200000X
FLME140967207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program