Provider Demographics
NPI:1497730428
Name:ANWAR, KHAWAJA N (MD)
Entity Type:Individual
Prefix:DR
First Name:KHAWAJA
Middle Name:N
Last Name:ANWAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 S US HIGHWAY 75 STE 300
Mailing Address - Street 2:ATTN. BILLING
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4589
Mailing Address - Country:US
Mailing Address - Phone:940-668-0333
Mailing Address - Fax:940-668-0363
Practice Address - Street 1:1902 HOSPITAL BLVD STE F
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-2008
Practice Address - Country:US
Practice Address - Phone:940-668-0333
Practice Address - Fax:940-668-0363
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2307207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG2307OtherSTATE LICENSE