Active NPI
Shehryar Anjum, MD, LLC
- Internal Medicine Physician
- Fairhope, AL
National Provider Identifier
1184916660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28263
- Legal business name
- SHEHRYAR ANJUM, MD, LLC
- Practice address
- 750 Morphy Ave
Fairhope, AL 36532-1812 - Phone
- (251) 928-2375
- NPI assigned
- May 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shehryar Anjum, MD
- Title
- Owner
- Phone
- (251) 988-1117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28263 | AL | Primary |
Addresses
Primary practice location
750 Morphy Ave
Fairhope, AL 36532-1812
Mailing address
PO Box 851676
Mobile, AL 36685-1676
Phone (251) 988-1117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51115220 | Other | AL | BLUE CROSS |
| 129682 | Medicaid | AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Sheffield, AL
- NPI 1275633349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311033600000",
"number": "1184916660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 851676",
"city": "MOBILE",
"state": "AL",
"postal_code": "366851676",
"telephone_number": "251-988-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MORPHY AVE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365321812",
"telephone_number": "251-928-2375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEHRYAR ANJUM, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-03",
"last_updated": "2011-07-19",
"status": "A",
"authorized_official_last_name": "ANJUM",
"authorized_official_first_name": "SHEHRYAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-988-1117",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AL",
"license": "28263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51115220",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129682",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.