Provider Demographics
NPI:1427151570
Name:UBEROI, ANIL (MD)
Entity type:Individual
Prefix:DR
First Name:ANIL
Middle Name:
Last Name:UBEROI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 NEAR THICKET LN
Mailing Address - Street 2:
Mailing Address - City:STEVENSON
Mailing Address - State:MD
Mailing Address - Zip Code:21153-0667
Mailing Address - Country:US
Mailing Address - Phone:410-366-1101
Mailing Address - Fax:
Practice Address - Street 1:4419 FALLS RD
Practice Address - Street 2:STE. 100
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-1226
Practice Address - Country:US
Practice Address - Phone:410-889-0076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026748207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB69812Medicare UPIN
MD8675Medicare ID - Type Unspecified