MEDICARE: KHAWAJA N. ANWAR MD PA

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	261QR1300X	Rural Health Clinic/Center

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

General Provider Information

NPI Number	:	1285820753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KHAWAJA N. ANWAR MD PA

Provider Business Mailing Address
First Line	:	801 N GRAND AVE STE 1
Second Line	:
City	:	GAINESVILLE
State	:	TX
Zip	:	76240-3574
Country	:	US
Telephone Number	:	940-668-7231
Fax Number	:	940-665-3048

Provider Business Practice Location Address
First Line	:	801 N GRAND AVE STE 1
Second Line	:
City	:	GAINESVILLE
State	:	TX
Zip	:	76240-3574
Country	:	US
Telephone Number	:	940-668-7231
Fax Number	:	940-665-3048

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KHAWAJA N ANWAR
Credential	:	M.D. PA
Telephone Number	:	940-668-7231

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	08/07/2008

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