Individual
MR. KHALID J AWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1921 PARK AVE SW, NORTON, VA 24273
(276) 679-4567
(276) 679-5736
Mailing address
1921 PARK AVE SW, NORTON, VA 24273
(276) 679-4567
(276) 679-5736
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101021992
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006895400
FEDERAL BLACK LUNG
—
01
—
1458222
UMWA
—
01
—
181888586
RAILROAD MEDICARE
—
01
—
223599700
US FORESTRY SERVICE
—
01
—
288838
ANTHEM
VA
01
—
5393077
AETNA
—
01
—
7102000
BCBS MICHIGAN
—
01
—
8786
ANCTRY KY
—
01
—
TN0102
JOHN DEERE
—
Enumeration date
09/11/2006
Last updated
01/26/2009
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