Vishal Anugu, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Johnson City, NY

NPI 1982120648 · NPPES record last updated Aug 15, 2017

Key facts

NPI
1982120648
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
507 Main St
Johnson City, NY 13790-1810
Phone
(607) 763-6075
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

507 Main St
Johnson City, NY 13790-1810

Mailing address

507 Main St
Johnson City, NY 13790-1810
Phone (607) 763-6075

Other providers in Johnson City, NY

All providers in Johnson City, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.