Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.086827 | OH |
N | 111NI0900X | Internist | 35.086827 | OH |
Y | 207RH0003X | Hematology & Oncology | 55617 | CA |
NPI | 1063405082 |
---|---|
Provider Name | Anuj Mahindra |
First Address | San Diego, CA 92127-5705 |
Second Address | La Jolla, CA 92037-1027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 27/06/2016 |