Individual
MISS ANOOSHA KASANAGOTTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
833 CHESTNUT ST STE 1210, PHILADELPHIA, PA 19107-4428
(215) 861-8800
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
07/11/2022
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