Aneesha Hanan Baki Sullivan in Tolleson - Physician Assistant
Aneesha Hanan Baki Sullivan - NPI 1619151610
Aneesha Hanan Baki Sullivan is a Physician Assistant in Tolleson, Arizona. Aneesha Hanan Baki Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Aneesha Hanan Baki Sullivan is 1619151610. The last update date is 2021-09-14.
Aneesha Hanan Baki Sullivan's current location address is 9169 W Van Buren St, Tolleson, Arizona. You can contact this provider via phone number 6232336676 and fax number 6023144579. The mailing address for Aneesha Hanan Baki Sullivan is 9169 W Van Buren St, Tolleson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Aneesha Hanan Baki Sullivan |
|---|---|
| Address | 9169 W Van Buren St, Tolleson, Arizona |
| Phone Number | 6232336676 |
| Fax Number | 6023144579 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1619151610 |
|---|---|
| Provider Enumeration Date | 2007-12-27 |
| Last Updated Date | 2021-09-14 |
Provider Mailing Address Detail
| Address | 9169 W Van Buren St |
|---|---|
| City | Tolleson |
| State | Arizona (AZ) |
| Post Code | 853532942 |
| Phone Number | 6232336676 |
| Fax Number | 6023144579 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4842 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 669150 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Aneesha Hanan Baki Sullivan?
The Aneesha Hanan Baki Sullivan has been issued the NPI (National Provider Identifier) 1619151610 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Aneesha Hanan Baki Sullivan located?
The Aneesha Hanan Baki Sullivan is located at 9169 W Van Buren St, Tolleson, AZ 853532942.
What is Aneesha Hanan Baki Sullivan's area of expertise and its corresponding taxonomy classification?
The Aneesha Hanan Baki Sullivan's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1619151610 to Aneesha Hanan Baki Sullivan?
The Aneesha Hanan Baki Sullivan received its 1619151610 assignment from the Centers for Medicare & Medicaid Services on 2007-12-27.
As of what date was the information pertaining to Aneesha Hanan Baki Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Aneesha Hanan Baki Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-09-14.