Provider Demographics
NPI:1407849672
Name:NAQVI, SYED ANWAR H (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED ANWAR
Middle Name:H
Last Name:NAQVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623
Mailing Address - Country:US
Mailing Address - Phone:419-473-3561
Mailing Address - Fax:419-829-0871
Practice Address - Street 1:718 MACOMB STREET
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-3880
Practice Address - Country:US
Practice Address - Phone:419-887-5300
Practice Address - Fax:419-829-0871
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301075305207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2273481Medicaid
MI105177050Medicaid
OHNA4056923Medicare PIN
OH2273481Medicaid