Mariyappa, Anu Kelur
Mariyappa, Anu Kelur is an individual health care provider with primary practice located at 129 Vision Park Blvd Ste 205 , Shenandoah TX 77384-3024. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mariyappa, Anu Kelur can be contacted via phone (281) 825-3344.Contact Information
Primary practice address
129 Vision Park Blvd Ste 205
Shenandoah TX 77384-3024
Phone: (281) 825-3344
Fax: (281) 825-3340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42592 | Arizona |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036136161 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036136161 | Illinois |
Profile Details
| NPI number | 1215153879 |
|---|---|
| LBN Legal business name | Mariyappa, Anu Kelur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Dec 17th, 2020 - about 5 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 | 1215153879 | NPPES |
| Arizona | MEDICAID | 494987 |
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