Provider Demographics
NPI:1427450568
Name:ANAGNOSTOU, ANTHONY ALEXANDER (MD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ALEXANDER
Last Name:ANAGNOSTOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 HARRISON AVE STE S
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-3216
Mailing Address - Country:US
Mailing Address - Phone:707-443-2248
Mailing Address - Fax:707-443-4847
Practice Address - Street 1:2321 HARRISON AVE STE S
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-3216
Practice Address - Country:US
Practice Address - Phone:707-443-2248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA133387208600000X, 2086S0127X
390200000X
NMMD2018-0303208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program