Provider Demographics
NPI:1558002162
Name:GARBUZOV, ANNA ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:ELLEN
Last Name:GARBUZOV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANYA
Other - Middle Name:
Other - Last Name:GARBUZOV
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1542 TULANE AVE # 748A
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2865
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1542 TULANE AVE # 748A
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2865
Practice Address - Country:US
Practice Address - Phone:504-568-2729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program