Individual
AFTAB A AWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2730
(360) 414-2739
Mailing address
140 S 40TH ST, OMAHA, NE 68131-3045
(402) 637-3632
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
MD61185856
WA
207P00000X
Emergency Medicine Physician
30343
IA
2084N0400X
Neurology Physician
0101280393
VA
2084N0400X
Neurology Physician
036-143847
IL
2084N0400X
Neurology Physician
Primary
MD61185856
WA
208VP0014X
Interventional Pain Medicine Physician
MD61185856
WA
Other
Enumeration date
07/10/2006
Last updated
12/01/2023
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