MEDICARE: ANIR DHIR 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	207N00000X	Dermatology Physician	52539	AZ
2	207N00000X	Dermatology Physician	34879	KY
3	207ND0101X	MOHS-Micrographic Surgery Physician	34879	KY
4	207NS0135X	Procedural Dermatology Physician	52539	AZ
5	207NS0135X	Procedural Dermatology Physician	34879	KY
6	207ND0101X	MOHS-Micrographic Surgery Physician	52539	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	000000064992	OTHER	ANTHEM
2	0300106	OTHER	UNITED HEALTHCARE
3	C03025	OTHER	CUMBERLAND HEALTHCARE

General Provider Information

NPI Number	:	1912900200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIR DHIR M.D.

Provider Business Mailing Address
First Line	:	7530 N ORACLE RD STE 102
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-4450
Country	:	US
Telephone Number	:	520-612-7722
Fax Number	:	520-612-7797

Provider Business Practice Location Address
First Line	:	7530 N ORACLE RD STE 102
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-4450
Country	:	US
Telephone Number	:	520-612-7722
Fax Number	:	520-612-7797

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	10/24/2024

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Directions to “ ANIR DHIR M.D.” Practice Location

Language	Start Address	Practice Location

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