Individual
ANUSHRI KUSHWAHA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4205 BEN FRANKLIN BLVD, DURHAM, NC 27704-2143
(919) 477-6900
(919) 620-0974
Mailing address
831 HEALEY LN, DURHAM, NC 27705-6343
(832) 585-2402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025-00673
NC
Other
Enumeration date
03/23/2022
Last updated
07/16/2025
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