Provider Demographics
NPI:1992794515
Name:STANKOVIC, ANA (MD FACP FASN FASH)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:
Last Name:STANKOVIC
Suffix:
Gender:F
Credentials:MD FACP FASN FASH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 STILES RD STE 2400
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3037
Mailing Address - Country:US
Mailing Address - Phone:603-890-2771
Mailing Address - Fax:603-890-2886
Practice Address - Street 1:31 STILES RD STE 2400
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079
Practice Address - Country:US
Practice Address - Phone:603-890-2771
Practice Address - Fax:603-890-2886
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13080207RN0300X, 207RN0300X, 207RN0300X
MA215693207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30206300Medicaid
MA2091691Medicaid
P00370460Medicare PIN
NH30206300Medicaid
MA2091691Medicaid
MASTA37734Medicare PIN