Organization
AWAN OPHTHALMOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID J AWAN MD (OWNER PRESIDENT)
(276) 679-4567
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1458222
UMWA
—
01
—
288837
ANTHEM
—
Enumeration date
12/19/2006
Last updated
01/26/2009
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