Individual
YUSRA ANIS-ANWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
216 HEMLOCK AVE STE 104, SOUTH WINDSOR, CT 06074-9607
(860) 697-6565
(860) 730-4661
Mailing address
93 ROCKLEDGE DR, SOUTH WINDSOR, CT 06074-1550
(860) 478-0882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036134
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010036134CT03
ANTHEM
CT
01
—
101668
CTCARE
CT
05
—
1992767826
—
CT
Enumeration date
04/05/2006
Last updated
06/22/2021
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