Provider Demographics
NPI:1801891213
Name:KABIR, MOHAMMAD ANWARUL (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:ANWARUL
Last Name:KABIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:M
Other - Middle Name:ANWARUL
Other - Last Name:KABIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7111 N MAIN ST
Mailing Address - Street 2:SUITE 50
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-2565
Mailing Address - Country:US
Mailing Address - Phone:937-424-5986
Mailing Address - Fax:937-424-5989
Practice Address - Street 1:7111 N MAIN ST
Practice Address - Street 2:SUITE 50
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-2565
Practice Address - Country:US
Practice Address - Phone:937-424-5986
Practice Address - Fax:937-424-5989
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.074802207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2117846Medicaid
OHH334672Medicare PIN
OHG80052Medicare UPIN