Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2021-01090 | NC |
Y | 2080P0210X | Pediatric Nephrologist | 2021-01090 | NC |
NPI | 1891284899 |
---|---|
Provider Name | Anisha Ramchandra Gerber |
First Address | Chapel Hill, NC 27599-7155 |
Second Address | Chapel Hill, NC 27599-7155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2018 |
Last Update Date | 20/12/2021 |