Basic Information
| Provider Information | |||||||||
| NPI: | 1689720443 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ANWER | ||||||||
| FirstName: | SYED | ||||||||
| MiddleName: | SHIRAZ | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 268922 | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731268922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4052313857 | ||||||||
| FaxNumber: | 4052727977 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 N LEE AVE | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731021036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4052726406 | ||||||||
| FaxNumber: | 4052726075 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/26/2007 | ||||||||
| LastUpdateDate: | 07/13/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | APMD25470 | OK | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MT181973 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 2007023610 | MO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 2007023610 | MO | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RP1001X | 25470 | OK | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207RC0200X | 25470 | OK | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
ID Information
| ID | Type | State | Issuer | Description | 200163920A | 05 | OK | MEDICAID |