Provider Demographics
NPI:1598959454
Name:MUKERJEE, ANIL KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANIL
Middle Name:KUMAR
Last Name:MUKERJEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7062207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0006316Medicaid
NH30006866Medicaid
NH30006866Medicaid
VT0006316Medicaid