Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01080138A | IN |
N | 111NI0900X | Internist | 01080138A | IN |
NPI | 1003131590 |
---|---|
Provider Name | Dr. Sheeba Anand |
First Address | Johnson City, TN 37614 |
Second Address | Johnson City, TN 37614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2010 |
Last Update Date | 12/07/2021 |