Provider Demographics
NPI:1235662339
Name:ANITA R OJHA-HAMMAD MD
Entity Type:Organization
Organization Name:ANITA R OJHA-HAMMAD MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:OJHA-HAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-476-2953
Mailing Address - Street 1:4653 CARMEL MOUNTAIN RD STE 308-94
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-6650
Mailing Address - Country:US
Mailing Address - Phone:760-476-2953
Mailing Address - Fax:760-476-2963
Practice Address - Street 1:6260 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-1609
Practice Address - Country:US
Practice Address - Phone:760-476-2953
Practice Address - Fax:760-476-2963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty