Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Anwar M Vardag, MD

Individual provider Pediatric Critical Care Medicine Physician · NPI 1679963839

Dr. Anwar M Vardag, MD is a Pediatric Medicine in Flagstaff, Arizona. Qualified in 1975, 51 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Arizona, Florida and North Carolina.

Years since qualifying
51
Licensed in
AZ, FL, NC
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 773-2112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 21644 Sr 7, Boca Raton, FL 33428 — (561) 488-8368
  • 1638 Owen Dr, Fayetteville, NC 28304-3424 — (910) 615-5590

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 2026-01221 (NC)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 77460 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 2026-01221 (NC)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 0061792 (FL)

Record details

NPI number1679963839
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 27, 2015
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address6156 Nw 31st Ave, Boca Raton, FL 33496-3374

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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