Provider Demographics
NPI:1295552388
Name:BISHNOI, ANURADHA (MBBS, MD, DNB, FRCP)
Entity type:Individual
Prefix:DR
First Name:ANURADHA
Middle Name:
Last Name:BISHNOI
Suffix:
Gender:F
Credentials:MBBS, MD, DNB, FRCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 BROOKTREE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9288
Mailing Address - Country:US
Mailing Address - Phone:724-933-1320
Mailing Address - Fax:
Practice Address - Street 1:9000 BROOKTREE RD STE 200
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9288
Practice Address - Country:US
Practice Address - Phone:947-205-8195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PALT001042207NP0225X, 207NS0135X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology