Provider Demographics
NPI:1396727335
Name:AFZAL, ANEETA (MD)
Entity type:Individual
Prefix:
First Name:ANEETA
Middle Name:
Last Name:AFZAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 PARKWAY CALABASAS STE 215
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3927
Mailing Address - Country:US
Mailing Address - Phone:818-798-9336
Mailing Address - Fax:818-230-6263
Practice Address - Street 1:5016 PARKWAY CALABASAS STE 215
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3927
Practice Address - Country:US
Practice Address - Phone:818-798-9336
Practice Address - Fax:818-230-6263
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1353052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1153231Medicaid
LA1153231Medicaid
4F089Medicare ID - Type Unspecified