Provider Demographics
NPI:1053395814
Name:NAGAR, ANIL B (MD)
Entity type:Individual
Prefix:
First Name:ANIL
Middle Name:B
Last Name:NAGAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 YORK ST
Mailing Address - Street 2:DIGESTIVE DISEASES
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3220
Mailing Address - Country:US
Mailing Address - Phone:203-785-7312
Mailing Address - Fax:203-785-7273
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:DIGESTIVE DISEASES
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-785-7312
Practice Address - Fax:203-785-7273
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2011-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT035067207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001350678Medicaid
CT110008392Medicare ID - Type Unspecified
CT001350678Medicaid