Individual provider · NPI-1

Dr. Anupama Ananda, M.D.

Internal Medicine · Mineola, NY

NPI number1003902073
StatusActive
Last updated in NPPESAug 30, 2010

Details

NPI
1003902073
Entity type
Individual (NPI-1)
Name
Dr. Anupama Ananda
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 5, 2006
Last updated
Aug 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine204248NYYes

Other names

  • Anupama Ganesan (Other Name)

Practice location

190 Willis Ave
Suite 210
Mineola, NY 11501-2649

Phone 516-739-7290 · Fax 516-793-7291

Mailing address

190 Willis Ave
Suite 210
Mineola, NY 11501-2649

Phone 516-739-7290 · Fax 516-793-7291

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