Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 40742 | AZ |
N | 111NI0900X | Internist | 40742 | AZ |
Y | 207RR0500X | Rheumatology | 40742 | AZ |
NPI | 1114129012 |
---|---|
Provider Name | Dr. Anita Narayanan Pender |
First Address | Tucson, AZ 85741-1482 |
Second Address | Tucson, AZ 85723-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2007 |
Last Update Date | 16/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
417640 | (05) | AZ |