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NPI Code Detail

MEDICARE: ANISH DHAMIJA MD

MEDICARE:   ANISH  DHAMIJA  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
12084B0040XBehavioral Neurology & Neuropsychiatry Physician158808CA
2207Q00000XFamily Medicine Physician318303NY
3207Q00000XFamily Medicine Physician158808CA
42084B0040XBehavioral Neurology & Neuropsychiatry Physician318303NY

General Provider Information

NPI Number : 1063946275
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANISH DHAMIJA MD
Provider Business Mailing Address
First Line : 1016 OUTER RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-1351
Country : US
Telephone Number : 619-429-3733
Fax Number :
Provider Business Practice Location Address
First Line : 1016 OUTER RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-1351
Country : US
Telephone Number : 619-429-3733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2017
Last Update Date : 04/09/2024

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Directions to “ ANISH DHAMIJA MD” Practice Location

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