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NPI Code Detail

MEDICARE: ANU SAMPAT M.D. P.C.

MEDICARE: ANU SAMPAT M.D. P.C.
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
1207RG0100XGastroenterology Physician201639NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11437116076OTHERNYNPI

General Provider Information

NPI Number : 1356584353
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANU SAMPAT M.D. P.C.
Provider Business Mailing Address
First Line : 10 WHITE ROCK TER
Second Line :
City : HOLMDEL
State : NJ
Zip : 07733-1645
Country : US
Telephone Number : 718-227-1282
Fax Number :
Provider Business Practice Location Address
First Line : 4277 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-6241
Country : US
Telephone Number : 718-227-1282
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANU SAMPAT
Credential : M.D.
Telephone Number : 718-227-1282
Provider Enumeration Date : 04/07/2009
Last Update Date : 06/10/2021

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