MEDICARE: ANIL K. SAXENA, MD, PC.

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	:	1982882551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANIL K. SAXENA, MD, PC.

Provider Business Mailing Address
First Line	:	35 SHRUB HOLLOW RD
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-3109
Country	:	US
Telephone Number	:	718-951-6495
Fax Number	:	718-951-6070

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	:	PRESIDENT
Name	:	DR. ANIL K SAXENA
Credential	:	MD
Telephone Number	:	718-951-6495

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	05/09/2008

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