Provider Demographics
NPI:1720368871
Name:MERCHANT, ANWAR (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANWAR
Middle Name:
Last Name:MERCHANT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 CABIN DR
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-7859
Mailing Address - Country:US
Mailing Address - Phone:803-661-6081
Mailing Address - Fax:
Practice Address - Street 1:800 SUMTER STREET
Practice Address - Street 2:DEPARTMENT OF EPIDEMIOLOGY AND BIOSTATISTICS
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29208
Practice Address - Country:US
Practice Address - Phone:803-777-6095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program