Individual
DR. ANUP PANJWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
3838 WATKINS MILL DR, ALEXANDRIA, VA 22304-6448
(904) 502-6075
(904) 207-7933
Mailing address
3838 WATKINS MILL DR, ALEXANDRIA, VA 22304-6448
(904) 502-6075
(904) 207-7933
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002102
VA
152W00000X
Optometrist
OPC3506
FL
152W00000X
Optometrist
Primary
TA2294
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003659300
—
FL
05
—
052828500
—
MD
Enumeration date
02/22/2007
Last updated
09/27/2012
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