Doctor Name: | MISS NALINI ANANDJIWALA |
NPI Number: | 1740627892 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME48784 |
Business Practice Address: | 7765 County Rd 231 Lake Butler, FL - 32054 |
Business Phone Number: | 3864966134 |
Business Fax Number: | |
Mailing Address: | 7765 County Road 231 Reception Medical Center, Florida Department Of Corrections LAKE BUTLER |
State: | FL |
Postal Code: | 32054 |
Phone Number: | 3864966000 |
Fax Number: | 3864966907 |
NPI Enumeration Date: | 05/30/2013 |
NPI Last Update Date: | 05/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME48784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |