Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 946505 | KS |
N | 111NI0900X | Internist | 946505 | KS |
N | 207RG0100X | Gastroenterologist | 04-33766 | KS |
N | 207RG0100X | Gastroenterologist | 10084 | SD |
Y | 207RG0100X | Gastroenterologist | PT 12963 | ND |
NPI | 1043439631 |
---|---|
Provider Name | Dr. Oksana Anand |
First Address | Rapid City, SD 57709-6020 |
Second Address | Rapid City, SD 57701-5462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 14/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200672210B | (05) | KS |