ANISH NANAVATI (NPI# 1154582989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154582989 |
| Entity Type | Individual |
| Full Name | ANISH NANAVATI |
| Practice Address |
3500 Old Washington Rd Ste 102 Waldorf MD 20602-3205 |
| Practice Telephone | 3016454242 |
| Practice Fax Number | 3017057512 |
| Mailing Telephone | 3016454242 |
| Mailing Fax Number | 3017057512 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
D0079889 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
3500 OLD WASHINGTON RD STE 102 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235431248 | Cambridge Cancer & Infusion Center LLC | Internal Medicine | 3500 Old Washington Rd, Ste 102, Waldorf, MD 20602-3224 | 2010-11-23 |
| 1629277165 | Krishan M Mathur Md | Internal Medicine | 3500 Old Washington Rd, Suite 102, Waldorf, MD 20602-3224 | 2007-07-14 |
| 1255489027 | M Ashraf Meelu | Internal Medicine | 10 Saint Patricks Dr, Suite 408, Waldorf, MD 20603-4527 | 2007-01-08 |
| 1326082884 | Krishan Mathur | Internal Medicine | 3500 Old Washington Rd, Suite 102, Waldorf, MD 20602-3224 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908749 | Daniel Da Motta Girardi | Internal Medicine | National Institutes of Health (nih) Campus, Bethesda, MD 20892-0001 | 2019-12-06 |
| 1255894879 | Rcca Md LLC | Internal Medicine | 9715 Medical Center Dr Ste 221, Rockville, MD 20850-6319 | 2019-04-10 |
| 1720573132 | Mid-atlantic Oncology Hematology, LLC | Internal Medicine | 12210 Plum Orchard Dr Ste 211, Silver Spring, MD 20904-7913 | 2018-06-27 |
| 1417463951 | Anne Arundel Physician Group, LLC | Internal Medicine | 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 | 2017-12-20 |
| 1205371135 | Giovanni Melillo | Internal Medicine | 2554 Bear Den Rd, Frederick, MD 21701-5230 | 2017-01-02 |
| 1598217473 | Jong-hoon Lee | Internal Medicine | 10905 Lamplighter Ln, Potomac, MD 20854-2782 | 2016-10-26 |
| 1467800367 | Rcca Md LLC | Internal Medicine | 18111 Prince Philip Dr Ste 327, Olney, MD 20832-1507 | 2016-06-01 |
| 1598179962 | Ronald Gress | Internal Medicine | 10 Crc3 3330, Nih, Bethesda, MD 20892-0001 | 2014-06-13 |
| 1861827586 | Timothy C Meeker | Internal Medicine | 11133 Post House Ct, Potomac, MD 20854-2535 | 2013-09-12 |
| 1750622361 | Johannes Blom | Internal Medicine | 4136 Cadle Creek Rd, Edgewater, MD 21037-4529 | 2013-03-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.