Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD465238 | PA |
NPI | 1003201401 |
---|---|
Provider Name | Ananya Daggubati |
First Address | Danville, PA 17822-4903 |
Second Address | Camp Hill, PA 17011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2015 |
Last Update Date | 24/08/2018 |