Individual
ANJALI MALKANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
408 N STATE OF FRANKLIN RD, SUITE 31 E, JOHNSON CITY, TN 37604-6089
(423) 431-4946
(423) 431-4947
Mailing address
408 N STATE OF FRANKLIN RD, SUITE 31 E, JOHNSON CITY, TN 37604-6089
(423) 431-4946
(423) 431-4947
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
53903
TN
2080P0206X
Pediatric Gastroenterology Physician
D55446
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259305000
—
MD
05
—
Q020449
—
TN
Enumeration date
06/02/2006
Last updated
01/12/2017
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