Individual
DR. AWAIS K HUMAYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 S UNIVERSITY DR STE 104, DAVIE, FL 33328-3835
(954) 707-5200
(954) 526-4562
Mailing address
4801 S UNIVERSITY DR STE 104, DAVIE, FL 33328-3835
(954) 707-5200
(954) 526-4562
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME78681
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME78681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11200036
CAQH
FL
05
—
269706800
—
FL
01
—
U1311S
MEDICARE ID
FL
01
—
U1311T
MEDICARE ID
FL
Enumeration date
06/04/2006
Last updated
03/07/2023
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