| Doctor Name: | MRS. ANJANA HEMRAJ PORWAL |
| NPI Number: | 1053638296 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPA-C |
| License Number: | 012825 |
| Business Practice Address: | 6970 Erie Rd Ste A Derby, NY - 140479591 |
| Business Phone Number: | 7169479147 |
| Business Fax Number: | 7169479147 |
| Mailing Address: | 7770 Cameron Court, NIAGARA FALLS |
| State: | ONTARIO |
| Postal Code: | L2H3G9 |
| Phone Number: | 9053567847 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2010 |
| NPI Last Update Date: | 04/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 012825 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |