Provider Demographics
NPI:1093155376
Name:MARYA, ANUJ (MD)
Entity Type:Individual
Prefix:
First Name:ANUJ
Middle Name:
Last Name:MARYA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2466 FLOWOOD DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9019
Mailing Address - Country:US
Mailing Address - Phone:601-815-5700
Mailing Address - Fax:601-346-5708
Practice Address - Street 1:215 KATHERINE DR STE A
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9588
Practice Address - Country:US
Practice Address - Phone:601-665-4162
Practice Address - Fax:855-830-3484
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2023-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS875-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine