Provider Demographics
NPI:1154160315
Name:MANSILLA-UY, ANNA KATHERINA (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:KATHERINA
Last Name:MANSILLA-UY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNA KATHERINA
Other - Middle Name:ABAT
Other - Last Name:MANSILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3702 ASHFORD BRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5180
Mailing Address - Country:US
Mailing Address - Phone:281-786-9168
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-4019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program