Provider Demographics
NPI:1427498088
Name:ABEDZADEH ANARAKI, SANAZ (MD)
Entity type:Individual
Prefix:
First Name:SANAZ
Middle Name:
Last Name:ABEDZADEH ANARAKI
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 1:250 CEDAR RIDGE DR
Mailing Address - Street 2:#612
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3163
Mailing Address - Country:US
Mailing Address - Phone:412-596-3858
Mailing Address - Fax:
Practice Address - Street 1:250 CEDAR RIDGE DR
Practice Address - Street 2:#612
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3163
Practice Address - Country:US
Practice Address - Phone:412-596-3858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT203645390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program