Individual
DR. ANISHA MOHAN MURARKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4600 S PULASKI RD, CHICAGO, IL 60632-4038
(773) 376-1111
Mailing address
520 S STATE ST APT 1013, CHICAGO, IL 60605-1657
(832) 265-6117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028851
IL
1223G0001X
General Practice Dentistry
12012075A
IN
1223G0001X
General Practice Dentistry
27368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283698001
—
TX
05
—
283968002
—
TX
05
—
283968003
—
TX
Enumeration date
09/08/2011
Last updated
01/29/2014
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