Individual
AFSHAN ANJUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B. B.S.
Contact information
Practice address
2450 RIVERSIDE AVE S, 2A WEST, MINNEAPOLIS, MN 55454-1450
(612) 273-8700
(612) 273-8787
Mailing address
2450 RIVERSIDE AVE S, 2A WEST, MINNEAPOLIS, MN 55454-1450
(612) 273-8700
(612) 273-8787
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
46330
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
46330
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081600
—
MT
05
—
0589853
—
IA
01
—
1042741
PREFERRED ONE
MN
01
—
136210
UCARE
MN
01
—
15-64903
MEDICA CHOICE
MN
01
—
174R9AN
BCBS
MN
05
—
181603900
—
MN
01
—
2280058
ARAZ
MN
01
—
C620
CHAMPUS/TRIWEST
MN
01
—
HP48313
HEALTHPARTNERS
MN
Enumeration date
06/16/2006
Last updated
07/21/2022
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