Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A126882 | CA |
N | 111NI0900X | Internist | A126882 | CA |
Y | 207RA0201X | Internist - Allergy & Immunology | A126882 | CA |
N | 207RR0500X | Rheumatology | A126882 | CA |
NPI | 1932475316 |
---|---|
Provider Name | Anna Postolova |
First Address | Menlo Park, CA 94025-4260 |
Second Address | Menlo Park, CA 94025-4260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2012 |
Last Update Date | 14/06/2021 |