Provider Demographics
NPI:1659369684
Name:NAHAR, ANITA (MD)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:NAHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5205 CHAIRMANS CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-2915
Mailing Address - Country:US
Mailing Address - Phone:301-696-0012
Mailing Address - Fax:301-696-0016
Practice Address - Street 1:5205 CHAIRMANS CT
Practice Address - Street 2:SUITE 100
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-2915
Practice Address - Country:US
Practice Address - Phone:301-696-0012
Practice Address - Fax:301-696-0016
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0054285207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD022905900Medicaid
MD022905900Medicaid
H47198Medicare UPIN