Organization
ANILA C. THAMPY, M.D., INC.
Active
Other names
Sierra Pediatric Medical Center Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANILA THAMPY M.D. (PHYSICIAN)
(559) 284-6264
Entity
Organization
Contact information
Practice address
1660 E HERNDON AVE, SUITE 102, FRESNO, CA 93720-3359
(559) 437-9024
(559) 437-0431
Mailing address
1660 E HERNDON AVE, SUITE 102, FRESNO, CA 93720-3359
(559) 437-9024
(559) 437-0431
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A48322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A483220
—
CA
01
—
078104
HEATHNET PIN
CA
01
—
H02560
BLUECROSS PIN
CA
01
—
ZZZ64423Z
BLUE SHIELD PIN
CA
Enumeration date
04/17/2007
Last updated
01/19/2010
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