Provider Demographics
NPI:1609691021
Name:BRAHMAJOSYULA, ANAGHA
Entity type:Individual
Prefix:MS
First Name:ANAGHA
Middle Name:
Last Name:BRAHMAJOSYULA
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:FLAT #B-313, ITTINA ABBY APARTMENTS
Mailing Address - Street 2:7TH CROSS, 8 A MAIN L.B.SHASTRY NAGAR, BANGALORE-560017
Mailing Address - City:BANGALORE
Mailing Address - State:KARNATAKA, INDIA
Mailing Address - Zip Code:560017
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30TH MAIN RD, NEAR BDA SHOPPING COMPLEX KEMPEGOWDA INST
Practice Address - Street 2:SIDDANNA LAYOUT, BANASHANKARI STAGE II, BANASHANKARI,
Practice Address - City:BANGLORE
Practice Address - State:KARNATAKA, INDIA
Practice Address - Zip Code:560070
Practice Address - Country:IN
Practice Address - Phone:918-026-7279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program