Awan, Musaddiq Javvad

Awan, Musaddiq Javvad is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Awan, Musaddiq Javvad can be contacted via phone (414) 805-4400.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226
Fax: (414) 805-4369
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 69742 Wisconsin

Profile Details

NPI number 1205279957
LBN Legal business name Awan, Musaddiq Javvad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2013
Last updated Apr 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205279957 NPPES
Wisconsin MEDICAID 1205279957

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