Provider Demographics
NPI:1720391279
Name:KHAN, MUHAMMAD AWAIS (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:AWAIS
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1501 N CAMPBELL AVENUE
Mailing Address - Street 2:DEPARTMENT OF NEUROLOGY, 6TH FLOOR
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724
Mailing Address - Country:US
Mailing Address - Phone:520-694-8888
Mailing Address - Fax:520-694-0235
Practice Address - Street 1:3838 N CAMPBELL AVE, BLDG2
Practice Address - Street 2:CLINIC E
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719
Practice Address - Country:US
Practice Address - Phone:520-694-8888
Practice Address - Fax:520-694-0235
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXU57322084N0400X
TN537892084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology