Individual
DR. ANNAHIETA KALANTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033
(717) 531-8955
(717) 531-4587
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS014396
PA
207P00000X
Emergency Medicine Physician
OT 011710
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102263255
—
PA
01
—
654016
MEDICARE
PA
Enumeration date
09/27/2007
Last updated
07/05/2018
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