Individual
DR. SADRUL ANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 MARCUS DRIVE, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
(631) 391-8389
Mailing address
80 MARCUS DRIVE, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
(631) 391-8389
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
001309
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02157555
—
NY
Enumeration date
01/05/2006
Last updated
03/14/2022
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