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Individual
DR. ANIESH BOBBA
Active
Individual
DR. ANIESH BOBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-156813
IL
207RN0300X
Nephrology Physician
036-156813
IL
207RN0300X
Nephrology Physician
2018023698
MO
208M00000X
Hospitalist Physician
036-156813
IL
208M00000X
Hospitalist Physician
Primary
2018023698
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063794
—
MO
Enumeration date
07/11/2015
Last updated
07/02/2021
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