Basic Information
Provider Information
NPI: 1427346121
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAITOUN
FirstName: ANWAR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1447 N HARRISON ST
Address2:  
City: SAGINAW
State: MI
PostalCode: 486024727
CountryCode: US
TelephoneNumber: 9895830000
FaxNumber:  
Practice Location
Address1: 900 COOPER AVE STE 4100
Address2:  
City: SAGINAW
State: MI
PostalCode: 486025182
CountryCode: US
TelephoneNumber: 9895834700
FaxNumber: 9895837173
Other Information
ProviderEnumerationDate: 07/14/2011
LastUpdateDate: 03/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X4301098817MIN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011X4301098817MIY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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