DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ANWAR M VARDAG M.D.

MEDICARE: DR. ANWAR M VARDAG 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
12080P0203XPediatric Critical Care Medicine Physician77460AZ
22080P0203XPediatric Critical Care Medicine Physician2026-01221NC
3208000000XPediatrics Physician2026-01221NC
42080P0203XPediatric Critical Care Medicine Physician0061792FL

Other Identifiers

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

General Provider Information

NPI Number : 1679963839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANWAR M VARDAG M.D.
Provider Business Mailing Address
First Line : 6156 NW 31ST AVE
Second Line :
City : BOCA RATON
State : FL
Zip : 33496-3374
Country : US
Telephone Number : 561-488-8368
Fax Number : 561-241-2340
Provider Business Practice Location Address
First Line : 1200 N BEAVER ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-3118
Country : US
Telephone Number : 928-773-2112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2015
Last Update Date : 03/23/2026

Similar Medicare Providers

1598603078 — ALLIANCE HEALTHCARE SERVICES INC
Practice Location Address:
1200 N BEAVER ST
FLAGSTAFF, AZ
86001-3118
Practice Phone: 800-530-0912
Practice Fax:
1881190403 — JEROME JOHN ROGICH MS, MD, DIMM
Practice Location Address:
1200 N BEAVER ST
FLAGSTAFF, AZ
86001-3118
Practice Phone: 928-779-3366
Practice Fax:
1588663835 — TED A. BRANSTETTER PA-C
Practice Location Address:
1200 N BEAVER ST
FLAGSTAFF, AZ
86001-3118
Practice Phone: 928-773-2332
Practice Fax:
1073515862 — JEFFREY SCOTT GRUNER M.D.
Practice Location Address:
1200 N BEAVER ST
FLAGSTAFF, AZ
86001-3118
Practice Phone: 928-773-2200
Practice Fax:
1528052560 — DR. BRIAN E MULKERIN MD
Practice Location Address:
1200 N BEAVER ST
FLAGSTAFF, AZ
86001-3118
Practice Phone: 928-779-3366
Practice Fax:
1700871688 — ELIZABETH HARDING M.D.
Practice Location Address:
1200 N BEAVER ST
FLAGSTAFF, AZ
86001-3118
Practice Phone: 928-214-2920
Practice Fax: 928-214-2925

Directions to “ DR. ANWAR M VARDAG M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.