Provider Demographics
NPI:1649368440
Name:LAUNGANI, ANJELI G (MD)
Entity type:Individual
Prefix:DR
First Name:ANJELI
Middle Name:G
Last Name:LAUNGANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3280 HOWELL MILL RD NW STE 211
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4100
Mailing Address - Country:US
Mailing Address - Phone:404-351-7546
Mailing Address - Fax:404-351-2993
Practice Address - Street 1:3280 HOWELL MILL RD NW STE 211
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-4100
Practice Address - Country:US
Practice Address - Phone:404-351-7546
Practice Address - Fax:404-351-2993
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA062543207N00000X
MI4301086991207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL086991OtherCOMMERCIAL-COMMERCIAL NUMBER
MI494479110Medicaid
700H262200OtherBLUE CROSS-BLUE CROSS
AL086991OtherCHAMPUS-CHAMPUS
I62799Medicare UPIN
AL086991OtherCHAMPUS-CHAMPUS
AL086991OtherCOMMERCIAL-COMMERCIAL NUMBER