Provider Demographics
NPI:1447411590
Name:HADPAWAT-LEE, ANITA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:
Last Name:HADPAWAT-LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANITA
Other - Middle Name:
Other - Last Name:HADPAWAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 91056
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91109-1056
Mailing Address - Country:US
Mailing Address - Phone:516-298-8254
Mailing Address - Fax:650-542-3677
Practice Address - Street 1:1666 WHITEFIELD RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-3956
Practice Address - Country:US
Practice Address - Phone:516-298-8254
Practice Address - Fax:650-542-3677
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248379207V00000X
CAC55783207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology