Individual
DR. FARRUKH T AWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
6201 HARRY HINES BLVD MAIL CODE 8565, DALLAS, TX 75390
(214) 645-4673
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(214) 645-4673
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
062180
GA
207RH0003X
Hematology & Oncology Physician
35122112
OH
207RH0003X
Hematology & Oncology Physician
Primary
R8311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626623475A
—
GA
05
—
PENDING
—
OH
01
—
R8311
TEXAS MEDICAL LICENSE
TX
Enumeration date
04/12/2007
Last updated
11/21/2018
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