Basic Information
Provider Information
NPI: 1194991992
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANWER
FirstName: MUHAMMAD
MiddleName: UBAIDULLAH
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1209 FOX TRAIL DR NE
Address2:  
City: CEDAR RAPIDS
State: IA
PostalCode: 524026707
CountryCode: US
TelephoneNumber: 3474106491
FaxNumber:  
Practice Location
Address1: 115 8TH ST NE
Address2:  
City: CEDAR RAPIDS
State: IA
PostalCode: 524011013
CountryCode: US
TelephoneNumber: 3193633565
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/01/2008
LastUpdateDate: 04/02/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X40259IAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X40259IAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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