Provider Demographics
NPI:1912691437
Name:ANAYER MEDICAL PA
Entity type:Organization
Organization Name:ANAYER MEDICAL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SADIA
Authorized Official - Middle Name:ADNANN
Authorized Official - Last Name:POLANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-773-0148
Mailing Address - Street 1:2865 MCDERMOTT RD STE 225
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-7520
Mailing Address - Country:US
Mailing Address - Phone:715-773-0148
Mailing Address - Fax:214-785-7216
Practice Address - Street 1:2865 MCDERMOTT RD STE 225
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-7520
Practice Address - Country:US
Practice Address - Phone:715-773-0148
Practice Address - Fax:214-785-7216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care