Khadija Awan, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Elkton, MD
NPI 1295913838 · NPPES record last updated Oct 10, 2011
Key facts
- NPI
- 1295913838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MT191451 (PA)
- Practice address
- 300 E Pulaski Hwy
Elkton, MD 21921-6435 - Phone
- (410) 398-0590
- Fax
- (410) 392-9408
- NPI assigned
- Feb 6, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-State Health, Inc.
Advanced Women'S Health, LLC
Practice addresses (Care Compare)
107 N Bridge St
Elkton, MD 21921-5326
Phone (302) 442-0998
677 E Pulaski Hwy
Suite C
Elkton, MD 21921-6037
Phone (410) 838-2000
Hospital & facility affiliations
- Union Hospital of Cecil County
- Christiana Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120405000100 | MD | Practitioner - Obstetrics/Gynecology | 3274794979 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT191451 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Health, Inc. | Current |
Accepting new patients | |
| Tri-State Health, Inc | Current |
Accepting new patients | |
| Advanced Women'S Health, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Delaware Medicine & OBGYN LLC | Past |
Accepting new patients |
Locations
677 E Pulaski Hwy
Ste C
Elkton, MD 21921
Phone (410) 620-2000
107 N Bridge St
Elkton, MD 21921
Phone (302) 442-0998
111 W High St
Ste 107
Elkton, MD 21921
Phone (410) 392-7044
2 Colgate Dr
Ste 202
Forest Hill, MD 21050
Phone (410) 838-2000
2288 Pulaski Hwy
Ste 1
North East, MD 21901
Phone (410) 392-6408
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECIABD/Endpoint/ECIABD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MT191451 | PA | Yes |
Addresses
Primary practice location
300 E Pulaski Hwy
Elkton, MD 21921-6435
Mailing address
P.O.Box 1040
Elkton, MD 21921-1040
Phone (410) 398-0590
Other providers in Elkton, MD
- Ati Holdings, LLC
- Tyreika Atkinson
- Ats of Cecil County, Inc.
- Ats of Cecil County, LLC
- Ats of Cecil County, LLC
- Maryam Awan
- David Howard Ayres
- Stephanie Bacha
- Yuemei Bai Urick
- Carrie Bailey
All providers in Elkton, MD · Obstetrics & Gynecology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.