Provider Demographics
NPI:1548201247
Name:M F ANWAR MD INC
Entity Type:Organization
Organization Name:M F ANWAR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:FAROOQ
Authorized Official - Last Name:ANWAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-845-0908
Mailing Address - Street 1:1500 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNDSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26041-2345
Mailing Address - Country:US
Mailing Address - Phone:304-845-0908
Mailing Address - Fax:304-845-1250
Practice Address - Street 1:1500 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:MOUNDSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26041-2345
Practice Address - Country:US
Practice Address - Phone:304-845-0908
Practice Address - Fax:304-845-1250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
152W00000X, 207R00000X, 332H00000X
WV00060207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001709497OtherBC BS MT GROUP
OH08588862Medicaid
WV0095227002Medicaid
WVC14866OtherRR MEDICARE GROUP
WV001709497OtherBC BS MT GROUP
WVC14866OtherRR MEDICARE GROUP