Individual
ANU MAHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
1612 W 13 MILE RD, ROYAL OAK, MI 48073-4507
(248) 506-4005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4351048353
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
MI
Enumeration date
07/22/2021
Last updated
05/19/2022
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