Provider Demographics
NPI:1891851382
Name:ANJANA SAMADDER MD INC
Entity Type:Organization
Organization Name:ANJANA SAMADDER MD INC
Other - Org Name:MID OHIO DIGESTIVE DISEASE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMADDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-575-2600
Mailing Address - Street 1:99 N BRICE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-6510
Mailing Address - Country:US
Mailing Address - Phone:614-575-2600
Mailing Address - Fax:614-575-2602
Practice Address - Street 1:99 N BRICE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-6510
Practice Address - Country:US
Practice Address - Phone:614-575-2600
Practice Address - Fax:614-575-2602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9326991Medicare ID - Type Unspecified