Individual
ANISA HERAVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
702 HILLCREST CIR, VACAVILLE, CA 95688-1046
(707) 685-6122
Mailing address
622 W 168TH ST # VC2-260, NEW YORK, NY 10032-3720
(212) 305-2995
(212) 305-6792
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
291521
NY
Other
Enumeration date
03/22/2012
Last updated
03/19/2023
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