Individual
DR. SHEHRYAR ANJUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 NELSON ST, SUITE 240, AUBURN, NY 13021-1944
(315) 567-0390
(315) 702-8393
Mailing address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 255-7576
(315) 702-8393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28253
AL
207R00000X
Internal Medicine Physician
319016
NY
207R00000X
Internal Medicine Physician
MD447427
PA
207RN0300X
Nephrology Physician
Primary
319016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319016
PHYSICIAN LICENSE
NY
01
—
51115220
BLUE CROSS
AL
01
—
51542516
BLUE CROSS BLUE SHIELD
AL
05
—
631500073
—
AL
Enumeration date
05/30/2007
Last updated
12/21/2022
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