Provider Demographics
NPI:1689849796
Name:MASHRUWALA, ANAR ATUL (MD)
Entity Type:Individual
Prefix:
First Name:ANAR
Middle Name:ATUL
Last Name:MASHRUWALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1550 N LAKE SHORE DR
Mailing Address - Street 2:APT 4D
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-1675
Mailing Address - Country:US
Mailing Address - Phone:502-235-7113
Mailing Address - Fax:
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:DIVISION OF HOSPITAL MEDICINE
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-5118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.128512208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist