Provider Demographics
NPI:1114616273
Name:ANWAR, WAQAS
Entity Type:Individual
Prefix:
First Name:WAQAS
Middle Name:
Last Name:ANWAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WYCKOFF HEIGHTS MEDICAL CENTER, DEPT OF INTERNAL
Mailing Address - Street 2:MEDICINE 374 STOCKHOLM ST
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237
Mailing Address - Country:US
Mailing Address - Phone:718-963-7585
Mailing Address - Fax:718-486-4270
Practice Address - Street 1:DEPT. OF INTERNAL MEDICINE, WYCKOFF HEIGHTS MEDICAL
Practice Address - Street 2:CENTER 374 STOCKHOLM ST,
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237
Practice Address - Country:US
Practice Address - Phone:718-963-7272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program