Most Relevant Information
Provider Data
| NPI Number: | 1003201401 |
| Provider Name: | ANANYA DAGGUBATI M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2015 |
| Last Updated: | 08/24/2018 |
Provider Practice Location
503 N 21ST ST
CAMP HILL
PA
17011
Practice Location Phone/Fax
| Phone: | 7179724301 |
| Fax: |
Provider Mailing Location
100 N ACADEMY AVE
DANVILLE
PA
178224903
Provider Mailing Phone/Fax
| Phone: | 5702716144 |
| Fax: |