Provider Demographics
NPI:1386738680
Name:ANKSH, VITA (MD)
Entity type:Individual
Prefix:
First Name:VITA
Middle Name:
Last Name:ANKSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 110465
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-0108
Mailing Address - Country:US
Mailing Address - Phone:239-254-1316
Mailing Address - Fax:239-254-1686
Practice Address - Street 1:9010 STRADA STELL CT
Practice Address - Street 2:SUITE 203
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-4424
Practice Address - Country:US
Practice Address - Phone:239-254-1316
Practice Address - Fax:239-254-1686
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME83804207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH51733Medicare UPIN
FL06153Medicare ID - Type Unspecified