Individual
ANU DHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 BROOKLYN AVE, SUITE #115, SAN ANTONIO, TX 78212-4803
(210) 242-6531
(210) 226-0402
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M6104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185606401
—
TX
05
—
185606402
—
TX
01
—
8AA842
BLUECROSS/BLUESHIELD TX.
TX
01
—
P01547656
RAILROAD MEDICARE
TX
Enumeration date
06/16/2006
Last updated
01/28/2016
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