Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A80107 | CA |
N | 111NI0900X | Internist | A80107 | CA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 2011-00626 | NC |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A80107 | CA |
NPI | 1023196839 |
---|---|
Provider Name | Anjana Vinayak Harnoor |
First Address | Union City, CA 94587-1507 |
Second Address | Union City, CA 94587-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 11/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A801070 | (05) | CA |
1023196839 | (05) | NC |
19J3Z | BCBS OF NC (01) | NC |