Individual
ANAHITA REZAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010
(626) 256-4673
Mailing address
1417 S WESTGATE AVE APT 202, LOS ANGELES, CA 90025-5270
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C55510
CA
207RG0100X
Gastroenterology Physician
MD00047553
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8489965
—
WA
01
—
MD00047553
WA LICENSE
WA
Enumeration date
06/25/2007
Last updated
07/27/2021
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