Vardag, Anwar M
Vardag, Anwar M is an sole proprietor health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001-3118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Vardag, Anwar M can be contacted via phone (928) 773-2112.Contact Information
Primary practice address
1200 N Beaver St
Flagstaff AZ 86001-3118
Phone: (928) 773-2112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 77460 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 2026-01221 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2026-01221 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 0061792 | Florida |
Profile Details
| NPI number | 1679963839 |
|---|---|
| LBN Legal business name | Vardag, Anwar M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2015 |
| Last updated | Apr 17th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679963839 | NPPES |
| Florida | MEDICAID | 3704441000 |
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