Provider Demographics
NPI:1326834813
Name:KHARLAMOV, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:KHARLAMOV
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 N MINAM LOOP
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-1604
Mailing Address - Country:US
Mailing Address - Phone:509-768-2807
Mailing Address - Fax:
Practice Address - Street 1:1403 N MINAM LOOP
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-1604
Practice Address - Country:US
Practice Address - Phone:509-768-2807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter