Healthcare Provider Details

I. General information

NPI: 1184806358
Provider Name (Legal Business Name): ANAS BITAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 N WILMOT RD STE 101
TUCSON AZ
85711-2683
US

IV. Provider business mailing address

PO BOX 245037
TUCSON AZ
85724-5037
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-5437
  • Fax:
Mailing address:
  • Phone: 520-626-5585
  • Fax: 520-626-6571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number62845
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number62845
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: