Provider Demographics
NPI:1104077635
Name:OHRI, ANJALI (MD)
Entity type:Individual
Prefix:
First Name:ANJALI
Middle Name:
Last Name:OHRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 EAST INDIAN SCHOOL ROAD
Mailing Address - Street 2:VA LOCUM TENENS PROGRAM
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012
Mailing Address - Country:US
Mailing Address - Phone:602-626-7528
Mailing Address - Fax:602-761-5552
Practice Address - Street 1:650 EAST INDIAN SCHOOL ROAD
Practice Address - Street 2:VA LOCUM TENENS PROGRAM
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012
Practice Address - Country:US
Practice Address - Phone:602-626-7528
Practice Address - Fax:602-761-5552
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLL17705207Q00000X
WAMD60082364207Q00000X
HIMD16546207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine