Organization
M F ANWAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD FAROOQ ANWAR MD (OWNER)
(304) 845-0908
Entity
Organization
Contact information
Practice address
1500 LAFAYETTE AVE, MOUNDSVILLE, WV 26041-2345
(304) 845-0908
(304) 845-1250
Mailing address
1500 LAFAYETTE AVE, MOUNDSVILLE, WV 26041-2345
(304) 845-0908
(304) 845-1250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207R00000X
Internal Medicine Physician
—
—
207W00000X
Ophthalmology Physician
Primary
00060
WV
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001709497
BC BS MT GROUP
WV
05
—
0095227002
—
WV
05
—
08588862
—
OH
01
—
C14866
RR MEDICARE GROUP
WV
Enumeration date
06/10/2006
Last updated
04/10/2012
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