AWAN PROFESSIONAL MEDICAL CORP. (NPI# 1871811430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871811430 |
| Entity Type | Organization |
| Organization Name | AWAN PROFESSIONAL MEDICAL CORP. |
| Practice Address |
1525 Webster St Suite A Fairfield CA 94533-4997 |
| Practice Telephone | 7074232506 |
| Practice Fax Number | 7074291158 |
| Mailing Telephone | 7074232510 |
| Mailing Fax Number | 7074254032 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |
| Authorized Official Name | NAJAM A AWAN (PRESIDENT) |
| Authorized Official Telephone | 7074232510 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A26106 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1525 WEBSTER ST SUITE A |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-4997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619993243 | Merle Ray Sogge | Internal Medicine | 1525 Webster St, Suite A, Fairfield, CA 94533-4935 | 2006-07-15 |
| 1679008841 | Shalon Mcmiller | Specialist | 1525 Webster St, Suite E, Fairfield, CA 94533-4997 | 2017-04-26 |
| 1326318312 | Robert A. Varady M.d. Inc. A Professional Corporation | Family Medicine | 1525 Webster St, Suite B, Fairfield, CA 94533-4997 | 2012-01-06 |
| 1306092838 | Bay Area Pulmonary and Critical Care Medical Group | Internal Medicine | 1525 Webster St, Suite A, Fairfield, CA 94533-4997 | 2008-08-15 |
| 1376730788 | Yolanda Wafer | Orthotic Fitter | 1525 Webster St, Suite E, Fairfield, CA 94533-4997 | 2007-09-29 |
| 1114119526 | Son Lam Nguyen | Internal Medicine | 1525 Webster St, A, Fairfield, CA 94533-4997 | 2007-08-10 |
| 1821289778 | Kyle F Eckhart | Orthotic Fitter | 1525 Webster St, Ste. E, Fairfield, CA 94533-4997 | 2007-08-06 |
| 1205055860 | Fulton Joseph Zink | Dentist | 1525 Webster St, Suite F, Fairfield, CA 94533-4997 | 2007-04-24 |
| 1710057781 | Intercommunity Medical Group | Internal Medicine | 1525 Webster St, Ste A, Fairfield, CA 94533 | 2006-11-08 |
| 1306936000 | Franklyn E Seabrooks | Orthopaedic Surgery | 1525 Webster St, Suite A, Fairfield, CA 94533-4997 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249018 | David G Babbitt | Internal Medicine | 3000 Mack Rd # 100, Fairfield, OH 45014-5335 | 2005-07-15 |
| 1972500676 | Milind Dhond | Internal Medicine | 1860 Pennsylvania Ave, Suite 120, Fairfield, CA 94533-3590 | 2005-07-07 |
| 1225370901 | Eric Louis Alter | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2013-03-20 |
| 1366745267 | Northeast Medical Group, Inc | Internal Medicine | 1305 Post Rd, Suite 105, Fairfield, CT 06824-6016 | 2010-12-15 |
| 1427374305 | Ari T Pollack | Internal Medicine | 1305 Post Rd, Lower Level, Fairfield, CT 06824-6016 | 2010-04-16 |
| 1851626394 | Jeffrey Breneisen Md Inc. | Internal Medicine | 1261 Travis Blvd, Suite 200, Fairfield, CA 94533-4897 | 2009-10-15 |
| 1447585161 | Milind Dhond Md Inc | Internal Medicine | 1261 Travis Blvd, Suite 200, Fairfield, CA 94533-4897 | 2009-10-14 |
| 1225264914 | Adam B. Raskin | Internal Medicine | 3000 Mack Rd Ste 100, Fairfield, OH 45014-5335 | 2009-06-08 |
| 1427229160 | The Heart Group | Internal Medicine | 209 Nw 11th St, Fairfield, IL 62837-1218 | 2008-03-21 |
| 1275742728 | Daniel Clark Eckert | Internal Medicine | 3000 Mack Road, Suite 100, Fairfield, OH 45014-5335 | 2007-05-22 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.