Individual
MISS ANILA KANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
648 CRESTWOOD BLVD, COVINGTON, LA 70433-8261
(985) 805-2555
(985) 400-5303
Mailing address
28631 THORNEAPPLE DRIVE, APARTMENT #102, SOUTHFIELD, MI 48034
(508) 471-6560
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
327008
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2016
Last updated
06/10/2021
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