MEDICARE: ANITA KOHLI 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
1	207RI0200X	Infectious Disease Physician	49951	AZ
2	207RI0008X	Hepatology Physician	49951	AZ

General Provider Information

NPI Number	:	1619189800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA KOHLI MD

Provider Business Mailing Address
First Line	:	2201 W FAIRVIEW ST STE 9
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-4711
Country	:	US
Telephone Number	:	480-470-4000
Fax Number	:	480-686-8875

Provider Business Practice Location Address
First Line	:	2201 W FAIRVIEW ST STE 9
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-4711
Country	:	US
Telephone Number	:	480-470-4000
Fax Number	:	480-686-8875

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	05/02/2024

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Directions to “ ANITA KOHLI MD” Practice Location

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