Shaheen Nazir Awan, PH.D.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL004675L Issued in PA

Practice address

6850 Lows Rd Ste 320
Northeast Ear, Nose & Throat
Bloomsburg, PA 17815-8708

Phone

(570) 387-4368

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1619954591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GLENWOOD DR",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158619",
            "telephone_number": "570-759-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LOWS RD STE 320",
            "address_2": "NORTHEAST EAR, NOSE & THROAT",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158708",
            "telephone_number": "570-387-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAN",
        "first_name": "SHAHEEN",
        "middle_name": "NAZIR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL004675L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy N Ashman, MA
• Madison Auchter
• Ronald J Avenia, M.D.
• Krista N Avery, RN
• Elias B Awad, MD
• Kelley D. Babcock, M.D.
• Jacqueline Bailey, NCC
• John Sanford Baird Jr., PH.D.
• David Joseph Ball, DO
• Chea Bankes

• Speech-Language Pathologist in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.