Provider Demographics
NPI:1407043201
Name:BADAR ANWAR MD PC
Entity Type:Organization
Organization Name:BADAR ANWAR MD PC
Other - Org Name:ANTHEM MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BADAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ANWAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-731-9711
Mailing Address - Street 1:660 S GREEN VALLEY PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-0431
Mailing Address - Country:US
Mailing Address - Phone:702-731-9711
Mailing Address - Fax:702-731-0096
Practice Address - Street 1:660 S GREEN VALLEY PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-0431
Practice Address - Country:US
Practice Address - Phone:702-731-9711
Practice Address - Fax:702-731-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002002602Medicaid
NVV35685Medicare PIN
NVC95787Medicare UPIN