Provider Demographics
NPI:1841297504
Name:SAXENA, ANIL K (MD)
Entity type:Individual
Prefix:DR
First Name:ANIL
Middle Name:K
Last Name:SAXENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:35 SHRUB HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-3109
Mailing Address - Country:US
Mailing Address - Phone:516-248-2015
Mailing Address - Fax:
Practice Address - Street 1:1700 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3943
Practice Address - Country:US
Practice Address - Phone:718-951-6495
Practice Address - Fax:718-951-6070
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126828207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00248499Medicaid
NY321061Medicare PIN
NY00248499Medicaid