Healthcare Provider Details
I. General information
NPI: 1881640605
Provider Name (Legal Business Name): ANJALI SAQI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/25/2006
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
525 E 68TH ST BOX 69
NEW YORK NY
10021-4870
US
IV. Provider business mailing address
BOX 29409,GPO
NEW YORK NY
10087-0001
US
V. Phone/Fax
- Phone: 646-253-2808
- Fax: 212-746-3856
- Phone: 646-253-2808
- Fax: 212-746-3856
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0105X |
| Taxonomy | Clinical Pathology/Laboratory Medicine Physician |
| License Number | 208576 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: