Individual
MONAM BASHIR AWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 E SWAN ST, CENTERVILLE, TN 37033-1417
(931) 729-6779
(931) 729-0174
Mailing address
135 E SWAN ST, CENTERVILLE, TN 37033-1417
(931) 729-6779
(931) 729-0174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25428
MS
207Q00000X
Family Medicine Physician
E-13987
AR
207Q00000X
Family Medicine Physician
Primary
MD46326
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2007
Last updated
01/30/2023
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