MEDICARE: ANWAR FARHOOD MD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	H5548	TX
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	51573	MA
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD038390E	PA

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
3	136995113	OTHER	TX	CSHCN
4	8K6431	OTHER		BCBS OF TEXAS
5	136995111	OTHER	TX	CSHCN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720069941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANWAR FARHOOD MD

Provider Business Mailing Address
First Line	:	PO BOX 164106
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78716-4106
Country	:	US
Telephone Number	:	512-324-7516
Fax Number	:	512-324-7536

Provider Business Practice Location Address
First Line	:	601 E 15TH ST
Second Line	:	DEPARTMENT OF PATHOLOGY
City	:	AUSTIN
State	:	TX
Zip	:	78701-1930
Country	:	US
Telephone Number	:	512-324-7516
Fax Number	:	512-324-7536

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	05/18/2009

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Directions to “ ANWAR FARHOOD MD” Practice Location

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