Individual
KHALED AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4316 JAMES CASEY ST STE C, AUSTIN, TX 78745-1157
(512) 807-3150
Mailing address
4316 JAMES CASEY ST STE C, AUSTIN, TX 78745-1157
(512) 807-3150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301084536
MI
207RC0000X
Cardiovascular Disease Physician
V2070
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
2015028191
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD442730
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
V2070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326236712
—
MO
Enumeration date
10/10/2007
Last updated
11/01/2024
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