Mateen a. Awan MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0062634 Issued in MD

Legal business name

MATEEN A. AWAN MD LLC

Practice address

10802 Hickory Ridge Rd
Columbia, MD 21044-3622

Phone

(410) 992-9355

Fax

(410) 992-3447

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mateen Afzal AwanNPI 1316918303

Title

Dr

Phone

(410) 992-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mateen A Awan, MD

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1316918303

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356560460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443622",
            "telephone_number": "410-992-9355",
            "fax_number": "410-992-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10802 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443622",
            "telephone_number": "410-992-9355",
            "fax_number": "410-992-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATEEN A. AWAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AWAN",
        "authorized_official_first_name": "MATEEN",
        "authorized_official_middle_name": "AFZAL",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "410-992-9355"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0062634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corentin Massot
• Master Plan
• Shema Masur
• Emily Mata
• Deborah Matanin
• Susan Mathason, LMT
• Santhia A. Mathew, MD
• Ann Marie Mathews, M.S., CCC/SLP
• Deborah Mathias
• Gloria Lee Mathis

• Internal Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.