Provider Demographics
NPI:1831682954
Name:ANWAR U DIN MD PLLC
Entity type:Organization
Organization Name:ANWAR U DIN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ANWAR
Authorized Official - Middle Name:U
Authorized Official - Last Name:DIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-533-2012
Mailing Address - Street 1:2946 SLEEPY HOLLOW RD STE 4C
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2003
Mailing Address - Country:US
Mailing Address - Phone:703-533-2012
Mailing Address - Fax:703-533-0136
Practice Address - Street 1:2946 SLEEPY HOLLOW RD STE 4C
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2003
Practice Address - Country:US
Practice Address - Phone:703-533-2012
Practice Address - Fax:703-533-0136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101264220207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty