# NASIR AWAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205191038
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0000450042-00024 | CA | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | 0000450042-00024 | CA | — |

## Other

- **Enumeration date:** 07/09/2012
- **Last updated:** 07/11/2012
