Ananda & Poulose Medical
Organization Active NPI Specialist · Mineola, NY
NPI 1356401855 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1356401855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ANANDA & POULOSE MEDICAL
- Practice address
- 190 Willis Ave
Suite 210
Mineola, NY 11501-2649 - Phone
- (516) 739-7290
- Fax
- (516) 739-7291
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Anupama Ananda, MD
- Title
- MD
- Phone
- (516) 739-7290
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
190 Willis Ave
Suite 210
Mineola, NY 11501-2649
Mailing address
190 Willis Ave
Suite 210
Mineola, NY 11501-2649
Phone (516) 739-7290
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.