Individual
ANUSHA JILLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 SPRINGHILL DR STE 130, NORTH LITTLE ROCK, AR 72117-2925
(501) 686-8530
(501) 686-8543
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
E-12178
AR
207RX0202X
Medical Oncology Physician
Primary
E-12178
AR
208M00000X
Hospitalist Physician
E12178
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
08/23/2022
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