MEDICARE: SEEMA ANJUM MD LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	8795	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CC2979	OTHER	NV	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124236328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEMA ANJUM MD LTD

Provider Business Mailing Address
First Line	:	3599 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3344
Country	:	US
Telephone Number	:	702-733-9230
Fax Number	:	702-733-9243

Provider Business Practice Location Address
First Line	:	3599 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3344
Country	:	US
Telephone Number	:	702-733-9230
Fax Number	:	702-733-9243

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	SEEMA ANJUM
Credential	:	MD
Telephone Number	:	702-733-9230

Provider Enumeration Date	:	05/19/2007
Last Update Date	:	04/23/2013

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Directions to “SEEMA ANJUM MD LTD ” Practice Location

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