Shumaila Anwer, MD
Individual provider Active NPI Neurology Physician · Salt Lake City, UT
NPI 1659951986 · NPPES record last updated Aug 8, 2022
Key facts
- NPI
- 1659951986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 12970422-1205 (UT)
- Practice address
- 175 North Medical Drive East 5TH Floor
Salt Lake City, UT 84132-0001 - Phone
- (801) 585-5405
- NPI assigned
- Apr 12, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220825002002 | UT | Order and Referring Only - Neurology |
1153705116 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12970422-1205 | UT | MD | Neurology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 12970422-1205 | UT | Yes |
Addresses
Primary practice location
175 North Medical Drive East 5TH Floor
Salt Lake City, UT 84132-0001
Mailing address
175 North Medical Drive East 5TH Floor
Salt Lake City, UT 84132-0001
Phone (801) 585-5405
Other providers in Salt Lake City, UT
- Loupel Superficial Antiquiera
- Margaret Antiquiera
- Marja E Anton
- Anisha Antony
- Michelle Anumba
- Walter R Anyan
- Yoshimi Anzai
- Nicholas Alexander Anzalone
- Alan N Aoki
- Joni Aoki
All providers in Salt Lake City, UT · Neurology Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.