Individual
DR. ANUPAM KUMAR MOHANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 S DIXIE HWY, MIAMI, FL 33133-3137
(786) 648-7200
(786) 648-7211
Mailing address
335 S BISCAYNE BLVD APT 3201, MIAMI, FL 33131-2351
(610) 547-9437
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD435931
PA
207R00000X
Internal Medicine Physician
Primary
ME96325
FL
207RI0008X
Hepatology Physician
ME96325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024181990002
—
PA
Enumeration date
11/08/2007
Last updated
07/06/2020
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