Individual
ANUPAMA POLIYEDATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7202 N MILLBROOK AVE STE 105, FRESNO, CA 93720-3341
(559) 450-4463
(559) 450-4462
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125048244
IL
207R00000X
Internal Medicine Physician
13324
NH
207R00000X
Internal Medicine Physician
Primary
C55333
CA
208M00000X
Hospitalist Physician
C55333
CA
Other
Enumeration date
01/04/2007
Last updated
12/02/2022
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