Provider Demographics
NPI:1760509749
Name:ARASTU, ANWAR HUSAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANWAR
Middle Name:HUSAIN
Last Name:ARASTU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12675 LA MIRADA BLVD
Mailing Address - Street 2:200
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638
Mailing Address - Country:US
Mailing Address - Phone:562-941-9853
Mailing Address - Fax:562-941-9683
Practice Address - Street 1:12675 LA MIRADA BLVD
Practice Address - Street 2:200
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638
Practice Address - Country:US
Practice Address - Phone:562-941-9853
Practice Address - Fax:562-941-9683
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA44427207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A444270Medicaid
N96427OtherPCP NUMBER
N96427OtherPCP NUMBER
B505371Medicare UPIN
N96427OtherPCP NUMBER