Organization
SHEHRYAR ANJUM, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEHRYAR ANJUM MD (OWNER)
(251) 988-1117
Entity
Organization
Contact information
Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 928-2375
Mailing address
PO BOX 851676, MOBILE, AL 36685-1676
(251) 988-1117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28263
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129682
—
AL
01
—
51115220
BLUE CROSS
AL
Enumeration date
05/03/2011
Last updated
07/19/2011
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