Individual
ANISH NANAVATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 SAINT PATRICKS DR FL 1, WALDORF, MD 20603-4527
(301) 645-4242
(301) 705-7512
Mailing address
10 SAINT PATRICKS DR FL 1, WALDORF, MD 20603-4527
(301) 645-4242
(301) 705-7512
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0079889
MD
Other
Enumeration date
06/24/2008
Last updated
07/22/2021
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