Provider Demographics
NPI:1285643445
Name:ANWER, MOHAMMAD BADAR (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:BADAR
Last Name:ANWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 22803
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32830-2803
Mailing Address - Country:US
Mailing Address - Phone:407-870-9992
Mailing Address - Fax:407-870-5153
Practice Address - Street 1:410 CELEBRATION PL
Practice Address - Street 2:400
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34747-5433
Practice Address - Country:US
Practice Address - Phone:407-870-9992
Practice Address - Fax:407-870-5153
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0071633207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBC BSOtherBLUE CROSS BLUE SHIELD
FL32393BMedicare ID - Type Unspecified
FLG60664Medicare UPIN