MEDICARE: DR. ANIL K. SAXENA M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	126828	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841297504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANIL K. SAXENA M.D.

Provider Business Mailing Address
First Line	:	35 SHRUB HOLLOW RD
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-3109
Country	:	US
Telephone Number	:	516-248-2015
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3943
Country	:	US
Telephone Number	:	718-951-6495
Fax Number	:	718-951-6070

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	05/09/2008

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