Individual
ANUJ MARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 RIVER OAKS DR STE 100, FLOWOOD, MS 39232-9564
(601) 200-4760
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-4760
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24532
MS
207QG0300X
Geriatric Medicine (Family Medicine) Physician
24532
MS
Other
Enumeration date
07/01/2013
Last updated
10/09/2024
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