Individual
DR. NADEEM ANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
164 SUMMIT AVE., PROVIDENCE, RI 02906
(401) 793-2104
(401) 793-4047
Mailing address
PO BOX 3238, BOSTON, MA 02241
(866) 689-8862
(207) 347-7401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
234029
NY
207R00000X
Internal Medicine Physician
Primary
MD13396
RI
207R00000X
Internal Medicine Physician
MD427665
PA
208M00000X
Hospitalist Physician
MD427665
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02621103
—
NY
Enumeration date
01/22/2006
Last updated
01/20/2011
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