Individual
DR. ANITHA IRAKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7203
(973) 926-2332
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7203
(973) 926-2332
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA07562700
NJ
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA07562700
NJ
Other
Enumeration date
07/08/2006
Last updated
04/17/2024
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