Provider Demographics
NPI:1093383358
Name:ANUJA MAHESH MISTRY, UNKNOWN (MD)
Entity Type:Individual
Prefix:
First Name:UNKNOWN
Middle Name:
Last Name:ANUJA MAHESH MISTRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANUJA
Other - Middle Name:MAHESH
Other - Last Name:MISTRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2000B TRANSMOUNTAIN RD STE 400I
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-3600
Mailing Address - Country:US
Mailing Address - Phone:915-215-8495
Mailing Address - Fax:915-215-8671
Practice Address - Street 1:2000B TRANSMOUNTAIN RD STE 400I
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-3600
Practice Address - Country:US
Practice Address - Phone:915-215-8495
Practice Address - Fax:915-215-8671
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program