Provider Demographics
NPI:1447870126
Name:MAHESHWARI, ANISHA (MD)
Entity type:Individual
Prefix:
First Name:ANISHA
Middle Name:
Last Name:MAHESHWARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E PETE ROSE WAY APT 526
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-3839
Mailing Address - Country:US
Mailing Address - Phone:210-204-4314
Mailing Address - Fax:
Practice Address - Street 1:3333 BURNET AVE, ML 7018
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-517-2234
Practice Address - Fax:513-636-3549
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.147361208000000X
PA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program