Provider Demographics
NPI:1629430772
Name:ABROL, ANISH (MD)
Entity Type:Individual
Prefix:
First Name:ANISH
Middle Name:
Last Name:ABROL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3705 MEDICAL PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1022
Mailing Address - Country:US
Mailing Address - Phone:512-458-2141
Mailing Address - Fax:512-458-4824
Practice Address - Street 1:3705 MEDICAL PKWY STE 120
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1022
Practice Address - Country:US
Practice Address - Phone:512-458-2141
Practice Address - Fax:512-458-4824
Is Sole Proprietor?:No
Enumeration Date:2016-03-27
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD61148684207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck