Pathak, Anjali Anil

Pathak, Anjali Anil is an individual health care provider with primary practice located at 5251 Emerson St , Jacksonville FL 32207-4932. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Pathak, Anjali Anil can be contacted via phone (904) 399-0324.

Contact Information

Primary practice address
5251 Emerson St Jacksonville FL 32207-4932
Fax: (904) 399-0420
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME62361 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME62361 Florida

Profile Details

NPI number 1558448928
LBN Legal business name Pathak, Anjali Anil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 29th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558448928 NPPES
Florida Other 23073 BCBS PROVIDER ID NUMBER

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