Provider Demographics
NPI:1619354180
Name:SARWAR, GHULAM (NP)
Entity Type:Individual
Prefix:
First Name:GHULAM
Middle Name:
Last Name:SARWAR
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 203 HEROLD TERRACE
Mailing Address - Street 2:
Mailing Address - City:SASKATOON
Mailing Address - State:SASKATCHEWAN
Mailing Address - Zip Code:S7V 1H4
Mailing Address - Country:CA
Mailing Address - Phone:306-373-3589
Mailing Address - Fax:
Practice Address - Street 1:7 203 HEROLD TERRACE
Practice Address - Street 2:
Practice Address - City:SASKATOON
Practice Address - State:SASKATCHEWAN
Practice Address - Zip Code:S7V 1H4
Practice Address - Country:CA
Practice Address - Phone:306-373-3589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5376750021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily