Channabasavaiah, Anitha

Channabasavaiah, Anitha is an individual health care provider with primary practice located at 4501 Dale Road , Modesto CA 95356. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Channabasavaiah, Anitha can be contacted via phone (209) 485-3898.

Contact Information

Primary practice address
4501 Dale Road Modesto CA 95356
Phone: (209) 485-3898
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A83221 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A83221 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A83221 California

Profile Details

NPI number 1326156431
LBN Legal business name Channabasavaiah, Anitha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Apr 5th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326156431 NPPES
California MEDICAID PENDING

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