Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 288595 | NY |
NPI | 1013262153 |
---|---|
Provider Name | Sanjay Kevin Anandaram |
First Address | Rochester, NY 14621-3022 |
Second Address | Rochester, NY 14621-3022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2012 |
Last Update Date | 19/04/2021 |