Individual
MR. ANIL K FATTERPAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 D MAIDENCHOICE LANE, CATONSVILLE, MD 21228
(410) 788-1177
(410) 788-1179
Mailing address
720 D MAIDENCHOICE LANE, BALTIMORE, MD 21228
(410) 788-1177
(410) 788-1179
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
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