Provider Demographics
NPI:1225039688
Name:DIN, ANWAR U (MD)
Entity Type:Individual
Prefix:DR
First Name:ANWAR
Middle Name:U
Last Name:DIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2946 SLEEPY HOLLOW RD STE 4C
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2003
Mailing Address - Country:US
Mailing Address - Phone:703-533-2012
Mailing Address - Fax:703-533-0136
Practice Address - Street 1:2946 SLEEPY HOLLOW RD STE 4C
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2003
Practice Address - Country:US
Practice Address - Phone:703-533-2012
Practice Address - Fax:703-533-0136
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35075380207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2084186Medicaid
OHG85967Medicare UPIN
OH4166019Medicare PIN