Individual
DR. ANWAR M VARDAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2112
Mailing address
6156 NW 31ST AVE, BOCA RATON, FL 33496-3374
(561) 488-8368
(561) 241-2340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2026-01221
NC
2080P0203X
Pediatric Critical Care Medicine Physician
0061792
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2026-01221
NC
2080P0203X
Pediatric Critical Care Medicine Physician
77460
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3704441000
—
FL
Enumeration date
01/27/2015
Last updated
04/17/2026
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