Provider Demographics
NPI:1114043601
Name:ANWAR, MOHAMMAD MUBASHAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:MUBASHAR
Last Name:ANWAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:713 W BIRDIE LN
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:DE
Mailing Address - Zip Code:19962-3114
Mailing Address - Country:US
Mailing Address - Phone:302-359-0155
Mailing Address - Fax:
Practice Address - Street 1:4940 EASTERN AVE. A1 EAST SUITE A-150
Practice Address - Street 2:JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Practice Address - City:BALITMORE
Practice Address - State:MD
Practice Address - Zip Code:21224
Practice Address - Country:US
Practice Address - Phone:410-550-7852
Practice Address - Fax:775-328-1773
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280876207P00000X, 207PE0004X
MDD72273207PE0004X
NVLL1767207PE0004X
CA121793207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine