Individual
MR. ANIL K FATTERPAKER
Active
Individual
MR. ANIL K FATTERPAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0018319
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
298546
MAMSI
MD
05
—
3126
—
MD
05
—
787571100
—
MD
01
—
R5420001
REP BCBS
MD
Enumeration date
11/29/2005
Last updated
01/11/2008
Update your record
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