MEDICARE: SEEMA ANJUM MD

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CC2979	OTHER	NV	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1629065842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEEMA ANJUM MD

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	04/23/2013

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Directions to “ SEEMA ANJUM MD” Practice Location

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