Provider Demographics
NPI:1346579364
Name:VERTKIN, ANNA FELDMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:FELDMAN
Last Name:VERTKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:VERTKIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:PEACITAS
Mailing Address - State:NM
Mailing Address - Zip Code:87043
Mailing Address - Country:US
Mailing Address - Phone:415-877-4280
Mailing Address - Fax:888-754-1234
Practice Address - Street 1:1100 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ALBUQURQUE
Practice Address - State:NM
Practice Address - Zip Code:87106
Practice Address - Country:US
Practice Address - Phone:415-877-4280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-22
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD184988207RG0100X
WI200207RG0100X
CAA44633207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology