Individual
DR. ANGELA ANAGNOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
361 S MONROE ST, SUITE #40, SAN JOSE, CA 95128-5130
(408) 247-5337
(408) 247-9253
Mailing address
361 S MONROE ST, SUITE #40, SAN JOSE, CA 95128-5130
(408) 247-5337
(408) 247-9253
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
G83027
CA
2084N0400X
Neurology Physician
G830270
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
G83027
CA
2084N0600X
Clinical Neurophysiology Physician
00G83027
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
00G83027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G830270
BLUE SHIELD
CA
01
—
00G830271
BLUE SHIELD
CA
Enumeration date
07/19/2006
Last updated
03/21/2013
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