Individual
TALHA ABDUL AWWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 S CANAL ST, CARLSBAD, NM 88220-5713
(575) 234-1466
(575) 628-1099
Mailing address
PO BOX 1574, ROSWELL, NM 88202-1574
(575) 627-9500
(575) 627-9520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2021-0612
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/07/2018
Last updated
08/04/2021
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