Ayli Sadat Anvaripour, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Newburgh, IN

NPI 1669218772 · NPPES record last updated Jul 8, 2024

Key facts

NPI
1669218772
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
10677 Williamsburg Dr
Newburgh, IN 47630-8760
Phone
(812) 629-1937
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

10677 Williamsburg Dr
Newburgh, IN 47630-8760

Mailing address

10677 Williamsburg Dr
Newburgh, IN 47630-8760
Phone (812) 629-1937

Other providers in Newburgh, IN

All providers in Newburgh, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.