Mongia, Anu R
Mongia, Anu R is an individual health care provider with primary practice located at 100 Market Place Blvd Ste 207, Cartersville GA 30121-8718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Mongia, Anu R can be contacted via phone (770) 607-7430.Contact Information
Primary practice address
100 Market Place Blvd Ste 207
Cartersville GA 30121-8718
Phone: (770) 607-7430
Fax: (678) 721-6974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 055685 | Georgia |
Profile Details
| NPI number | 1659332922 |
|---|---|
| LBN Legal business name | Mongia, Anu R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Nov 14th, 2011 - about 13 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 | 1659332922 | NPPES |
| Georgia | MEDICAID | 915720405B |
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