Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | C54283 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | M0535 | TX |
NPI | 1366487993 |
---|---|
Provider Name | Dr. Anakha R Nambiar |
First Address | San Francisco, CA 94139-0001 |
Second Address | Walnut Creek, CA 94595-2501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 06/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P01465651 | RAILROAD MEDICARE (01) | CA |