Provider Demographics
NPI:1851363873
Name:AWAN, IHSAN UL H (MD)
Entity Type:Individual
Prefix:DR
First Name:IHSAN UL
Middle Name:H
Last Name:AWAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:IHSANUL
Other - Middle Name:HAQUE
Other - Last Name:AWAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:UPMC PHYSICIAN SERVICES
Mailing Address - Street 2:200 LOTHROP STREET
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-647-5797
Mailing Address - Fax:
Practice Address - Street 1:UPMC HEART AND VASCULAR INSTITUTE
Practice Address - Street 2:1668 LINCOLN WAY
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131
Practice Address - Country:US
Practice Address - Phone:412-684-4124
Practice Address - Fax:412-672-7239
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036803L207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000978808Medicaid
PA144660Medicare ID - Type Unspecified