Provider Demographics
NPI:1821803024
Name:SARWAR, MARIA SHOIB
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:SHOIB
Last Name:SARWAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3126 E HARWELL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85042-7118
Mailing Address - Country:US
Mailing Address - Phone:623-200-6988
Mailing Address - Fax:
Practice Address - Street 1:3126 E HARWELL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85042-7118
Practice Address - Country:US
Practice Address - Phone:623-200-6988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZI026192390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program