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Hassan Mahmood Awan

Internal Medicine

Allopathic & Osteopathic Physicians

2225 Union Ave Ste 100, Memphis, TN 38104-4391

PECOS Enrollment

This provider is enrolled in PECOS as HASSAN AWAN.

Based on the most recent information from CMS, provider Hassan Mahmood Awan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1760796791
Provider Type
Individual
Full Name
Awan, Hassan Mahmood
Title
Dr.
Credential
M.D

Gender
Male
Sole Proprietor
No
Enumeration Date
8/2/2010
Last Updated
3/28/2025

Contact Information

Practice Location

2225 Union Ave Ste 100, Memphis, TN 38104-4391

(616) 635-0127

Unlisted Fax

Mailing Location

3421 W 9th St, Waterloo, IA 50702-5401

(616) 635-0127

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RN0300X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 56258 Tennessee

Hassan Mahmood Awan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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