Provider Demographics
NPI:1346674116
Name:PAUL, ANISHA VARKEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANISHA
Middle Name:VARKEY
Last Name:PAUL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-5129
Mailing Address - Country:US
Mailing Address - Phone:775-386-2246
Mailing Address - Fax:
Practice Address - Street 1:901 W 4TH ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-5129
Practice Address - Country:US
Practice Address - Phone:775-386-2246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6470122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist