Basic Information
| Provider Information | |||||||||
| NPI: | 1245202233 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CUNHA | ||||||||
| FirstName: | ANTHONY | ||||||||
| MiddleName: | V | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | BOX 805 | ||||||||
| Address2: | |||||||||
| City: | NEVADA CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95959 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5302711791 | ||||||||
| FaxNumber: | 5302712090 | ||||||||
| Practice Location | |||||||||
| Address1: | 155 GLASSON WAY | ||||||||
| Address2: | |||||||||
| City: | GRASS VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95945 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5302746000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2006 | ||||||||
| LastUpdateDate: | 07/02/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZM0300X | G30573 | CA | Y | Allopathic & Osteopathic Physicians | Pathology | Medical Microbiology |
No ID Information.