Provider Demographics
NPI:1679560106
Name:ANWAR, SADAF QASIM (MD)
Entity Type:Individual
Prefix:DR
First Name:SADAF
Middle Name:QASIM
Last Name:ANWAR
Suffix:
Gender:F
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:PO BOX 57278
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7278
Mailing Address - Country:US
Mailing Address - Phone:832-632-1328
Mailing Address - Fax:281-554-8064
Practice Address - Street 1:150 E MEDICAL CENTER BLVD
Practice Address - Street 2:STE B
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4373
Practice Address - Country:US
Practice Address - Phone:281-554-2846
Practice Address - Fax:281-724-1321
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0001207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170340702Medicaid
TX170340702Medicaid