Basic Information
Provider Information
NPI: 1174961981
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANEES
FirstName: MUHAMMAD
MiddleName: ALI
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14140 BEACH BLVD STE 223
Address2:  
City: WESTMINSTER
State: CA
PostalCode: 926834453
CountryCode: US
TelephoneNumber: 7148967566
FaxNumber:  
Practice Location
Address1: 14140 BEACH BLVD STE 223
Address2:  
City: WESTMINSTER
State: CA
PostalCode: 926834453
CountryCode: US
TelephoneNumber: 7148967566
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/13/2013
LastUpdateDate: 07/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA146609CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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