Individual
ANITA A. MBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 BROAD ST FL 45, NEW YORK, NY 10004-2942
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR FL 19, SAN FRANCISCO, CA 94111-3628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032108
NY
363AM0700X
Medical Physician Assistant
C0006115
MD
Other
Enumeration date
05/10/2016
Last updated
09/30/2025
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