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1336341692

NPI Code Detail

MEDICARE: AMBER ANWAR M.D.

MEDICARE: AMBER ANWAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036.122767	IL
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	036.122767	IL
3	208M00000X	Hospitalist Physician	036.122767	IL
4	207RN0300X	Nephrology Physician	ME138987	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336341692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER ANWAR M.D.

Provider Business Mailing Address
First Line	:	850 W RIO SALADO PKWY STE 201
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85281-3812
Country	:	US
Telephone Number	:	480-480-8330
Fax Number	:	480-610-6189

Provider Business Practice Location Address
First Line	:	4710 N HABANA AVE STE 107
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7143
Country	:	US
Telephone Number	:	813-910-0030
Fax Number	:	813-348-6223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	11/02/2023

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Directions to “ AMBER ANWAR M.D.” Practice Location

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