Individual
DR. ANUSHA VITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 777-2609
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(044) 377-7260
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0097231
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
07/26/2023
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