Individual
ANJALENA PASAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2600
Mailing address
311 HILLCREST DR, SAYRE, PA 18840-1059
(601) 214-9802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD469848
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2015
Last updated
03/11/2021
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