Provider Demographics
NPI:1386961498
Name:ANWAR, ZEENAT (MD)
Entity type:Individual
Prefix:DR
First Name:ZEENAT
Middle Name:
Last Name:ANWAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:ZEENAT
Other - Middle Name:
Other - Last Name:ANWAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3820 GRATIOT AVE
Mailing Address - Street 2:3820 GRATIOT AVE
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-1536
Mailing Address - Country:US
Mailing Address - Phone:810-987-2550
Mailing Address - Fax:810-987-7560
Practice Address - Street 1:3820 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-1536
Practice Address - Country:US
Practice Address - Phone:810-987-2550
Practice Address - Fax:810-987-7560
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301032414207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology