Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | A36305 | CA |
NPI | 1063476646 |
---|---|
Provider Name | Dr. Habib Anwar Md |
First Address | San Diego, CA 92120 |
Second Address | San Diego, CA 92120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4355916 | (05) | CA |
A88373 | (02) | CA |