Individual
ANUSUIYA NAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301100687
MI
2084P0805X
Geriatric Psychiatry Physician
Primary
51378
SC
390200000X
Student in an Organized Health Care Education/Training Program
4301100687
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513787
—
SC
Enumeration date
05/18/2012
Last updated
02/16/2022
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