Provider Demographics
NPI:1356094080
Name:VAKIL, ANNA (CCH)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:VAKIL
Suffix:
Gender:F
Credentials:CCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6888 E MISSION ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-8861
Mailing Address - Country:US
Mailing Address - Phone:623-444-5577
Mailing Address - Fax:
Practice Address - Street 1:6888 E MISSION ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-8861
Practice Address - Country:US
Practice Address - Phone:928-247-6385
Practice Address - Fax:928-247-6385
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath