# MATEEN A. AWAN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356560460
- **Authorized official:** MATEEN AFZAL AWAN (DR)
- **Authorized official phone:** (410) 992-9355

## Contact information

- **Practice address:** 10802 HICKORY RIDGE RD, COLUMBIA, MD 21044-3622
- **Practice address phone:** (410) 992-9355
- **Practice address fax:** (410) 992-3447
- **Mailing address:** 10802 HICKORY RIDGE RD, COLUMBIA, MD 21044-3622
- **Mailing address phone:** (410) 992-9355
- **Mailing address fax:** (410) 992-3447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0062634 | MD | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020