Pathak, Anjali Anil
Pathak, Anjali Anil is an individual health care provider with primary practice located at 5251 Emerson St , Jacksonville FL 32207-4932. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Pathak, Anjali Anil can be contacted via phone (904) 399-0324.Contact Information
Primary practice address
5251 Emerson St
Jacksonville FL 32207-4932
Phone: (904) 399-0324
Fax: (904) 399-0420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME62361 | Florida |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME62361 | Florida |
Profile Details
| NPI number | 1558448928 |
|---|---|
| LBN Legal business name | Pathak, Anjali Anil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Apr 29th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558448928 | NPPES |
| Florida | Other | 23073 | BCBS PROVIDER ID NUMBER |
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