Provider Demographics
NPI:1467551507
Name:INFECTIOUS DISEASE SPECIALISTS, INC.
Entity Type:Organization
Organization Name:INFECTIOUS DISEASE SPECIALISTS, INC.
Other - Org Name:SYED ANWAR H. NAQVI, M.D., LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED ANWAR
Authorized Official - Middle Name:H
Authorized Official - Last Name:NAQVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-829-0873
Mailing Address - Street 1:PO BOX 351255
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43635-1255
Mailing Address - Country:US
Mailing Address - Phone:419-819-1118
Mailing Address - Fax:419-829-0871
Practice Address - Street 1:14930 LAPLAISANCE RD
Practice Address - Street 2:SUITE 125
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-3880
Practice Address - Country:US
Practice Address - Phone:419-819-1118
Practice Address - Fax:419-829-0871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301075305207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP44600Medicare PIN
OHIN9370641Medicare PIN
OHH43946Medicare UPIN