Individual
ANASTASIA LYNN MISAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
680 W MACARTHUR BLVD, OAKLAND, CA 94609-2340
(510) 752-5354
Mailing address
1822 22ND AVE, SAN FRANCISCO, CA 94122-4422
(415) 731-2171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A873520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A873520
—
CA
01
—
A87352
STATE MEDICAL LICENSE
CA
Enumeration date
08/15/2006
Last updated
07/08/2007
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