Anjum, Shehryar
Anjum, Shehryar is an sole proprietor health care provider with primary practice located at 77 Nelson St Suite 240, Auburn NY 13021-1944. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Anjum, Shehryar can be contacted via phone (315) 567-0390.Contact Information
Primary practice address
77 Nelson St Suite 240
Auburn NY 13021-1944
Phone: (315) 567-0390
Fax: (315) 702-8393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28253 | Alabama |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD447427 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 319016 | New York |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 319016 | New York |
Profile Details
| NPI number | 1669673398 |
|---|---|
| LBN Legal business name | Anjum, Shehryar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2007 |
| Last updated | Dec 21st, 2022 - about 3 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 | 1669673398 | NPPES |
| New York | Other | 319016 | PHYSICIAN LICENSE |
| New York | Other | 51542516 | PHYSICIAN LICENSE |
| New York | Other | 51115220 | PHYSICIAN LICENSE |
| New York | MEDICAID | 631500073 | PHYSICIAN LICENSE |
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