# DR. ANIMESH PETKAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417121054
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 119840 | FL | — |
| 207W00000X | Ophthalmology Physician | 184359 | OR | — |
| 207W00000X | Ophthalmology Physician | 48379 | TN | — |
| 207W00000X | Ophthalmology Physician | 60462016 | WA | — |
| 207W00000X | Ophthalmology Physician | A131108 | CA | Yes |
| 207W00000X | Ophthalmology Physician | E7446 | AR | — |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 07/21/2022