Mohammad K Anwar MD, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MOHAMMAD K ANWAR MD, LLC

Practice address

4113 Williams Blvd
Kenner, LA 70065

Phone

(316) 461-7843

Fax

(504) 754-7713

NPI assigned

Jul 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammad Anwar, MDNPI 1477723914

Title

Owner

Phone

(316) 461-7843

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brealon Michael Lirette, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houma, LA
  • NPI 1710400833
  Medicare reassignment NPD
• Mohammad Khursheed Anwar, M.D.

  • Psychiatry Physician
  • Kenner, LA
  • NPI 1477723914
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1124698048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 LEGRANDE BAYOU LANE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "316-461-7843",
            "fax_number": "504-754-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "316-461-7843",
            "fax_number": "504-754-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD K ANWAR MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-461-7843",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donavan D Mitchell
• Elaine Mitchell
• Hayley Mitchell
• MLJ Cardinal LLC
• Modalities Recovery Center
• Mohammad Suleman, MD Apmc
• Farhan Syed Abdullah Mohiuddin, MD
• Edmond Montaldo III, PHARMD
• Victoria Michael Monteleone, PHARM D.
• Ronnie Ray Montgomery

• Psychiatry Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.