Provider Demographics
NPI:1336458942
Name:REWARI, AMAR (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:AMAR
Middle Name:
Last Name:REWARI
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 418837
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-8837
Mailing Address - Country:US
Mailing Address - Phone:607-324-2340
Mailing Address - Fax:607-324-7615
Practice Address - Street 1:20330 SENECA MEADOWS PKWY
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7004
Practice Address - Country:US
Practice Address - Phone:301-309-6765
Practice Address - Fax:301-309-2230
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD747052085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology