Individual
ANITHA NADUPARAMBIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024730
NY
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881939114
TRICARE
TX
01
—
760555765
UNITED HEALTH CARE
TX
01
—
895N17
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
11/27/2012
Last updated
02/25/2020
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