Provider Demographics
NPI:1821511551
Name:ANU HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:ANU HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:MOBOLAJI
Authorized Official - Middle Name:FLORENCE
Authorized Official - Last Name:OMOSHEBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-801-0819
Mailing Address - Street 1:4809 BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-5731
Mailing Address - Country:US
Mailing Address - Phone:443-478-8371
Mailing Address - Fax:
Practice Address - Street 1:4809 BELAIR ROAD
Practice Address - Street 2:BALTIMORE
Practice Address - City:MARYLAND
Practice Address - State:MD
Practice Address - Zip Code:21206
Practice Address - Country:US
Practice Address - Phone:443-478-8371
Practice Address - Fax:443-982-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MH-23422084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Single Specialty