Provider Demographics
NPI:1801678362
Name:ANWAR MOLANI MD INC APMC
Entity type:Organization
Organization Name:ANWAR MOLANI MD INC APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:ANWAR
Authorized Official - Last Name:MOLANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-998-1578
Mailing Address - Street 1:PO BOX 10076
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91410-0076
Mailing Address - Country:US
Mailing Address - Phone:805-578-8300
Mailing Address - Fax:
Practice Address - Street 1:4955 VAN NUYS BLVD STE 415
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1827
Practice Address - Country:US
Practice Address - Phone:805-250-9233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory