Individual
ANU G GABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 4TH ST N, FARGO, ND 58122-0001
(701) 234-6161
(701) 234-7257
Mailing address
820 4TH ST N, FARGO, ND 58122-0001
(701) 234-6161
(701) 234-7257
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
47654
MN
207RH0003X
Hematology & Oncology Physician
Primary
9598
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041215
PREFERREDONE
—
05
—
13055
—
ND
01
—
24359
NDBCBS
—
01
—
3600498
MEDICA
—
05
—
567465400
—
MN
05
—
7714340
—
SD
01
—
820S4GA
MN BCBS
—
01
—
HP42398
HEALTHPARTNERS
—
Enumeration date
07/16/2006
Last updated
02/14/2021
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