Provider Demographics
NPI:1043287337
Name:ANIL K. MUKERJEE, MD, LLC
Entity Type:Organization
Organization Name:ANIL K. MUKERJEE, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:MUKERJEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-444-9605
Mailing Address - Street 1:PO BOX 680
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-0680
Mailing Address - Country:US
Mailing Address - Phone:603-444-9605
Mailing Address - Fax:603-444-9607
Practice Address - Street 1:134 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4203
Practice Address - Country:US
Practice Address - Phone:603-444-9605
Practice Address - Fax:603-444-9607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-05
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7062207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0006316Medicaid
NH30212268Medicaid
B85968Medicare UPIN
NH0004383Medicare PIN