Individual
DR. ANITA BACHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1475 W 49TH PL, HIALEAH, FL 33012-3113
(305) 558-2500
Mailing address
33 CALF POND LN, FAIRFIELD, CT 06824-2074
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS17366
FL
208D00000X
General Practice Physician
OS17366
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
07/11/2023
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