Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 286329 | NY |
N | 111NI0900X | Internist | 286329 | NY |
Y | 207RG0300X | Geriatric Medicine | 20A15986 | CA |
NPI | 1134519663 |
---|---|
Provider Name | Anjoulie Pujji |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2015 |
Last Update Date | 19/09/2019 |