Provider Demographics
NPI:1023134053
Name:ELY, ANJOO CHAUDHRY (DDS)
Entity type:Individual
Prefix:DR
First Name:ANJOO
Middle Name:CHAUDHRY
Last Name:ELY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:27225 PROVIDENCE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1271
Mailing Address - Country:US
Mailing Address - Phone:248-347-3030
Mailing Address - Fax:248-347-1198
Practice Address - Street 1:27225 PROVIDENCE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1271
Practice Address - Country:US
Practice Address - Phone:248-347-3030
Practice Address - Fax:248-347-1198
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2025-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI29010172771223G0001X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice