Individual
DR. ANUSHA KIERTY YESHOKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(302) 528-3439
Mailing address
PO BOX 1137, NEW YORK, NY 10029-0312
(302) 528-3439
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
290318
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
290318
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2013
Last updated
10/19/2020
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