Individual
ANITA ELANGOVAN
Active
Individual
ANITA ELANGOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101238955
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188990
ANTHEM
VA
01
—
541951145004
TRICARE
VA
Enumeration date
02/21/2006
Last updated
05/18/2021
Update your record
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