Healthcare Provider Details

I. General information

NPI: 1700171386
Provider Name (Legal Business Name): ANJU BAKHSHI SARASWAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 11/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER BLVD
WINSTON SALEM NC
27157-3908
US

IV. Provider business mailing address

3535 OLENTANGY RIVER RD
COLUMBUS OH
43214-3908
US

V. Phone/Fax

Practice location:
  • Phone: 336-716-7021
  • Fax: 336-716-9758
Mailing address:
  • Phone: 614-566-3322
  • Fax: 614-566-1073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2018-01588
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: