Individual
DR. ANIKA TENE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10506 MONTGOMERY RD STE 504, MONTGOMERY, OH 45242-4400
(513) 221-3800
(513) 682-4520
Mailing address
10506 MONTGOMERY RD STE 504, MONTGOMERY, OH 45242-4400
(513) 221-3800
(513) 682-4520
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
265368
MA
207V00000X
Obstetrics & Gynecology Physician
Primary
35.141435
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174859425
—
CA
05
—
1447277355
—
CA
01
—
W1508
MEDICARE GROUP PTAN
CA
Enumeration date
08/16/2007
Last updated
11/14/2023
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