KOMAL MANZOOR AWAN MD
NPI 1942996590
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 17, 2023PECOS Enrolled
6071 W OUTER DR, DETROIT, MI 48235(267) 962-6267 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Komal Manzoor Awan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOMAL MANZOOR AWAN MD (NPI 1942996590) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942996590
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKOMAL MANZOOR AWANCredential: MD
Location Address6071 W OUTER DRDetroit, MI 48235-2624
Mailing Address4201 Saint Antoine St # 9cDetroit, MI 48201-2153 · (313) 745-6047
Sole ProprietorNo
Enumeration DateApril 17, 2023
NPPES CertifiedApril 17, 2023
NPI 1942996590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6071 W OUTER DR, Detroit, MI 48235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Komal Manzoor Awan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
6071 W OUTER DR
DETROIT, MI 48235
Internal Medicine
6071 W OUTER DR
DETROIT, MI 48235
Psychiatry & Neurology (Neurocritical Care)
6071 W OUTER DR
DETROIT, MI 48235
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Nurse Anesthetist, Certified Registered
6071 W OUTER DR
DETROIT, MI 48235
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Komal Awan's NPI number?

The NPI number for Komal Awan is 1942996590. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Komal Awan located?

Komal Awan practices at 6071 W Outer Dr, Detroit, MI 48235. The listed phone number is (267) 962-6267.

What is Komal Awan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Komal Awan enrolled in Medicare?

Yes. Komal Awan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Komal Awan was last updated on April 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.