Basic Information
| Provider Information | |||||||||
| NPI: | 1235662339 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANITA R OJHA-HAMMAD MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4653 CARMEL MOUNTAIN RD STE 308-94 | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921306650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7604762953 | ||||||||
| FaxNumber: | 7604762963 | ||||||||
| Practice Location | |||||||||
| Address1: | 6260 EL CAMINO REAL | ||||||||
| Address2: | |||||||||
| City: | CARLSBAD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920091609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7604762953 | ||||||||
| FaxNumber: | 7604762963 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2017 | ||||||||
| LastUpdateDate: | 04/05/2017 | ||||||||
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| AuthorizedOfficialLastName: | OJHA-HAMMAD | ||||||||
| AuthorizedOfficialFirstName: | ANITA | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7604762953 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.