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ANJAN MEDICAL MANAGEMENT PLLC NPI 1649463993


NPI Information

NPI: 1649463993
Provider Name: ANJAN MEDICAL MANAGEMENT PLLC

Doing Business As: COASTAL MDS

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 34D1060760

Address:
1444 S 17TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 793-4311
Get Directions

ANJAN MEDICAL MANAGEMENT PLLC is a general practice in Wilmington, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ANJAN MEDICAL MANAGEMENT PLLC NPI is 1649463993. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coastal Mds.

The provider's business location address is:

1444 S 17TH ST
WILMINGTON, NC
ZIP 28401-436
Phone: (910) 793-4311
Fax: (910) 793-4322

The provider's authorized official is Anthony K Njapa .
The authorized official title is Partner and has the following contact phone number (910) 793-4311.

The CLIA number assigned to this NPI record is 34D1060760 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 1/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice2006-00122NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15907797MEDICAIDNORTH CAROLINA
21881659019OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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