Healthcare Provider Details

I. General information

NPI: 1407274525
Provider Name (Legal Business Name): ANJALI SAXENA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2014
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136
US

IV. Provider business mailing address

1611 NW 12TH AVE CENTRAL BUILDING, ROOM 600-D (R-131)
MIAMI FL
33136-1005
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-5954
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME137019
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME137019
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: