Anand G Kantak
Pediatric Allergist
2400 32nd Ave S
Fargo
, North Dakota 58103-5800
Anand G Kantak
Pediatric Allergist
2400 32nd Ave S
Fargo
, North Dakota 58103-5800
(701) 234-8800
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About
Features
Specialties
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Anand G Kantak
- 2400 32nd Ave S
- Fargo, ND
- Zip : 58103-5800
- Phone : (701) 234-8800
Second Address
- Anand G Kantak
- 2400 32nd Ave S
- Fargo, ND
- Zip : 58103-5800
- Phone : (701) 234-8800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0201X | Pediatric Allergist | 5636 | ND |
National Provider Identifier
| NPI | 1669499331 |
|---|---|
| Provider Name | Anand G Kantak |
| First Address | Fargo, ND 58103-5800 |
| Second Address | Fargo, ND 58103-5800 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 21/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A13015 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.