Individual
DR. ANITHA KRISHNASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 938-7189
Mailing address
100 COVE WAY, UNIT # 104, QUINCY, MA 02169-5886
(617) 773-8493
(617) 773-8493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021-01886
NC
207R00000X
Internal Medicine Physician
218725
MA
208M00000X
Hospitalist Physician
Primary
2021-01886
NC
Other
Enumeration date
02/08/2006
Last updated
01/24/2022
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