Provider Demographics
NPI:1083784201
Name:ANWAR, ASHTON SHEKIB (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHTON
Middle Name:SHEKIB
Last Name:ANWAR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7291 S EASTERN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0437
Mailing Address - Country:US
Mailing Address - Phone:702-896-0080
Mailing Address - Fax:702-896-0058
Practice Address - Street 1:7291 S EASTERN AVE STE B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0437
Practice Address - Country:US
Practice Address - Phone:702-896-0080
Practice Address - Fax:702-896-0058
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor