Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | A113144 | CA |
Y | 207RP1001X | Pulmonary Disease | A113144 | CA |
NPI | 1043522956 |
---|---|
Provider Name | Dr. Anil Perumbeti |
First Address | Rancho Mirage, CA 92270-3221 |
Second Address | Rancho Mirage, CA 92270-3221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2010 |
Last Update Date | 14/03/2019 |