Provider Demographics
NPI:1871978411
Name:MAGSI, ANJUM
Entity type:Individual
Prefix:
First Name:ANJUM
Middle Name:
Last Name:MAGSI
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 1:3949 SUNFOREST CT
Mailing Address - Street 2:STE 105
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4473
Mailing Address - Country:US
Mailing Address - Phone:419-475-9341
Mailing Address - Fax:419-474-0095
Practice Address - Street 1:3949 SUNFOREST CT
Practice Address - Street 2:STE 105
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4473
Practice Address - Country:US
Practice Address - Phone:419-475-9341
Practice Address - Fax:419-474-0095
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.394540163W00000X
OHAPRN.CNP.17865363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0140555Medicaid
OHH384200Medicare PIN