Provider Demographics
NPI:1679221097
Name:MAHAJAN, ANANYA (PA-C)
Entity Type:Individual
Prefix:
First Name:ANANYA
Middle Name:
Last Name:MAHAJAN
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Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:3451 PINE RIDGE RD BLDG 601
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-3922
Mailing Address - Country:US
Mailing Address - Phone:239-449-7900
Mailing Address - Fax:877-334-1886
Practice Address - Street 1:6101 PINE RIDGE RD STE 101
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3900
Practice Address - Country:US
Practice Address - Phone:239-649-1662
Practice Address - Fax:239-649-7053
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2022-10-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant