Individual
JAVAID ANWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4880 WYNN RD, LAS VEGAS, NV 89103-5406
(702) 871-5005
(702) 871-1341
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2994
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528031978
—
NV
01
—
2994
STATE LICENSE
NV
01
—
V24262
MEDICARE GROUP LAB
NV
01
—
VWCGZT
MEDICARE GROUP
NV
Enumeration date
02/08/2006
Last updated
10/14/2022
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