Healthcare Provider Details

I. General information

NPI: 1225039688
Provider Name (Legal Business Name): ANWAR U. DIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6231 LEESBURG PIKE STE 203
FALLS CHURCH VA
22044-2102
US

IV. Provider business mailing address

6231 LEESBURG PIKE STE 203
FALLS CHURCH VA
22044-2102
US

V. Phone/Fax

Practice location:
  • Phone: 703-533-2012
  • Fax: 703-533-0136
Mailing address:
  • Phone: 703-533-2012
  • Fax: 703-533-0136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101264220
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35075380
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: