Individual
MALLIKARJUNA ANNE
Active
Individual
MALLIKARJUNA ANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
036044990
IL
207ZH0000X
Hematology (Pathology) Physician
036044990
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036044990
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634127
BCBS IL
IL
05
—
036044990
—
IL
Enumeration date
10/05/2006
Last updated
05/09/2012
Update your record
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