Individual
DR. ANISH THOMAS PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANISH PETER
Contact information
Practice address
2175 PARK PL, EL SEGUNDO, CA 90245-4705
(310) 354-4346
(469) 294-0993
Mailing address
2175 PARK PL, EL SEGUNDO, CA 90245-4705
(310) 354-4346
(469) 294-0993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50855
AZ
390200000X
Student in an Organized Health Care Education/Training Program
R71060
AZ
Other
Enumeration date
09/29/2008
Last updated
01/13/2016
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