Individual
ANJNI BHAGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 CLAY ST, MALONE, NY 12953-1905
(518) 483-0705
(518) 483-1375
Mailing address
5 CLAY ST, MALONE, NY 12953-1905
(518) 483-0705
(518) 483-1375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
171773
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01062899
—
NY
01
—
110022877
RAILROAD MEDICARE
NY
01
—
B81036
FRANKLIN COUNTY NURSING H
NY
Enumeration date
09/05/2006
Last updated
12/15/2009
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