Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 214828 | MA |
N | 111NI0900X | Internist | 214828 | MA |
Y | 207RA0201X | Internist - Allergy & Immunology | 0101255688 | VA |
NPI | 1912984709 |
---|---|
Provider Name | Anubha Tripathi |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-9353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 20/02/2014 |