Physician Compare National (NPI:1639281736)

HEALTHCARE PROVIDER: ANWAR MUMTAZ M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1639281736
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042407736
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101207000872
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MUMTAZ
	Individual professional last name
Provider First Name	ANWAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4000 ANNAPOLIS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 202
	Group Practice or individual's line 2 address
City	BALTIMORE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	212273655
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4107892800
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y