Provider Demographics
NPI:1245993716
Name:ANIGORE, SANIT B
Entity type:Individual
Prefix:MRS
First Name:SANIT
Middle Name:B
Last Name:ANIGORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12630 VEIRS MILL RD APT 1202
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-3574
Mailing Address - Country:US
Mailing Address - Phone:240-475-0932
Mailing Address - Fax:
Practice Address - Street 1:1301 UPSHUR ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5622
Practice Address - Country:US
Practice Address - Phone:301-758-4182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA001941633747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA00194163OtherCNN