Basic Information
Provider Information
NPI: 1174026116
EntityType: 2
ReplacementNPI:  
OrganizationName: ANU HOSPITALIST PLLC
LastName:  
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Credential:  
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Mailing Information
Address1: PO BOX 8218
Address2:  
City: CHANDLER
State: AZ
PostalCode: 852468218
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 520 ROSE LN
Address2:  
City: WICKENBURG
State: AZ
PostalCode: 853901447
CountryCode: US
TelephoneNumber: 7024533799
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/15/2018
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: SOHI
AuthorizedOfficialFirstName: ARSHWINDER
AuthorizedOfficialMiddleName: S
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 8455593628
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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