Mammen, Anju Annie
Mammen, Anju Annie is an individual health care provider with primary practice located at 777 S Fry Rd Suite 207, Katy TX 77450-2244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mammen, Anju Annie can be contacted via phone (281) 492-7676.Contact Information
Primary practice address
777 S Fry Rd Suite 207
Katy TX 77450-2244
Phone: (281) 492-7676
Fax: (281) 492-8133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M7397 | Texas |
Profile Details
| NPI number | 1073572525 |
|---|---|
| LBN Legal business name | Mammen, Anju Annie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jul 27th, 2015 - about 9 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 | 1073572525 | NPPES |
| Connecticut | Other | 010042497CT01 | BCS |
| Connecticut | MEDICAID | 282923603 | BCS |
| Connecticut | MEDICAID | 004236164 | BCS |
| Connecticut | Other | 042497 | BCS |
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