Provider Demographics
NPI:1376816249
Name:RAOWAS, ANAS (MD)
Entity Type:Individual
Prefix:
First Name:ANAS
Middle Name:
Last Name:RAOWAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANAS
Other - Middle Name:
Other - Last Name:ALRWAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:18111 BROOKHURST ST
Mailing Address - Street 2:STE 6100
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6728
Mailing Address - Country:US
Mailing Address - Phone:405-271-4022
Mailing Address - Fax:405-271-4221
Practice Address - Street 1:18111 BROOKHURST ST
Practice Address - Street 2:STE 6100
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6728
Practice Address - Country:US
Practice Address - Phone:405-271-4022
Practice Address - Fax:405-271-4221
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA127374193400000X, 193400000X
OK29029207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes193400000XGroupSingle Specialty
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology