Basic Information
Provider Information
NPI: 1770722605
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOREY
FirstName: ANJALI
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 999 BRUBAKER DR
Address2: DIGESTIVE SPECIALISTS INC
City: KETTERING
State: OH
PostalCode: 454293556
CountryCode: US
TelephoneNumber: 9375347330
FaxNumber: 9372972208
Practice Location
Address1: 999 BRUBAKER DR
Address2: DIGESTIVE SPECIALISTS INC
City: KETTERING
State: OH
PostalCode: 454293556
CountryCode: US
TelephoneNumber: 9375347330
FaxNumber: 9372972208
Other Information
ProviderEnumerationDate: 02/17/2009
LastUpdateDate: 04/11/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X35084692OHY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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