Healthcare Provider Details

I. General information

NPI: 1932498953
Provider Name (Legal Business Name): MISS SEHER ANJUM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 03/13/2020
Certification Date: 03/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 ROCKVILLE PIKE BLDG 10
BETHESDA MD
20892
US

IV. Provider business mailing address

7400 JONES DR APT 18217400
GALVESTON TX
77551-2198
US

V. Phone/Fax

Practice location:
  • Phone: 301-402-1830
  • Fax:
Mailing address:
  • Phone: 832-573-4508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberQ1943
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD86433
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberQ1943
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: