Provider Demographics
NPI:1114036878
Name:GILANI, SYED ANWAR KAMAL (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:ANWAR KAMAL
Last Name:GILANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15805
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32406-0000
Mailing Address - Country:US
Mailing Address - Phone:850-215-5885
Mailing Address - Fax:850-215-5890
Practice Address - Street 1:237 E BALDWIN ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405
Practice Address - Country:US
Practice Address - Phone:850-215-5885
Practice Address - Fax:850-215-5890
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77324207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256734200Medicaid
FLME77324OtherSTATE LICENSE
FL46881GOtherMEDICARE PTAN
FL46881GOtherMEDICARE PTAN
FL256734200Medicaid