Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 35.079766 | OH |
NPI | 1013969963 |
---|---|
Provider Name | Dr. Anjli Maroo |
First Address | Cleveland, OH 44111-5610 |
Second Address | Cleveland, OH 44111-5610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I52372 | (02) | OH |