Individual
ANITHA NALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5205 CHAIRMANS CT STE 100, FREDERICK, MD 21703-2916
(301) 696-0012
(301) 696-0016
Mailing address
5205 CHAIRMANS CT STE 100, FREDERICK, MD 21703-2916
(301) 696-0012
(301) 696-0016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101240273
VA
207R00000X
Internal Medicine Physician
MD036252
DC
207RN0300X
Nephrology Physician
Primary
D0067325
MD
Other
Enumeration date
08/28/2006
Last updated
03/17/2018
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