Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 90463 | GA |
NPI | 1023472537 |
---|---|
Provider Name | Anahita Alvanpour |
First Address | Minneapolis, MN 55455-0341 |
Second Address | Albany, GA 31701-1941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2016 |
Last Update Date | 17/11/2021 |