Individual
ANWAR MUMTAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 ANNAPOLIS RD, SUITE # 102, BALTIMORE, MD 21227-3600
(410) 789-2800
Mailing address
4000 ANNAPOLIS RD, SUITE # 102, BALTIMORE, MD 21227-3600
(410) 789-2800
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0024062
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031911200
—
MD
01
—
040000521
RAILROAD MEDICARE #
MD
01
—
6298A
CAREFIRST MARYLAND #
MD
01
—
A316
BLUECHOICE #
MD
Enumeration date
08/31/2006
Last updated
05/01/2008
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