Individual
MUSHTAQ ANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8260 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 764-7965
Mailing address
11408 WILLOW GATE DR, GLEN ALLEN, VA 23060-6128
(732) 895-9762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101249429
VA
Other
Enumeration date
07/24/2008
Last updated
08/06/2012
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