Provider Demographics
NPI:1609553502
Name:ANWAR, AMMAAR (DO)
Entity Type:Individual
Prefix:DR
First Name:AMMAAR
Middle Name:
Last Name:ANWAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3008 NW 168TH CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-6787
Mailing Address - Country:US
Mailing Address - Phone:580-799-6369
Mailing Address - Fax:
Practice Address - Street 1:3008 NW 168TH CT
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-6787
Practice Address - Country:US
Practice Address - Phone:580-799-6369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0599R207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine