Anis, Kisra
Anis, Kisra is an individual health care provider with primary practice located at 1400 Pelham Pkwy S , Bronx NY 10461-1138. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Anis, Kisra can be contacted via phone (718) 918-3060.Contact Information
Primary practice address
1400 Pelham Pkwy S
Bronx NY 10461-1138
Phone: (718) 918-3060
Fax: (718) 918-4469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 207404 | New York |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 207404 | New York |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 207404 | New York |
Profile Details
| NPI number | 1518097146 |
|---|---|
| LBN Legal business name | Anis, Kisra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | May 7th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518097146 | NPPES |
| New York | MEDICAID | 02210451 |
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