Individual
DR. ANITHA SARA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(301) 572-1320
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
224653
MA
207RC0000X
Cardiovascular Disease Physician
Primary
51952
MN
208000000X
Pediatrics Physician
224653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103745
—
MA
01
—
468283
TUFTS HEALTH PLAN
MA
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
J28791
BCBS MA
MA
Enumeration date
05/03/2006
Last updated
11/02/2010
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