Provider Demographics
NPI:1760011381
Name:HAUSWIRTH, ANNA GENEVIEVE BHAT
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:GENEVIEVE BHAT
Last Name:HAUSWIRTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 GEARY BLVD.
Mailing Address - Street 2:GME M115
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115
Mailing Address - Country:US
Mailing Address - Phone:415-833-3034
Mailing Address - Fax:415-833-4983
Practice Address - Street 1:2425 GEARY BLVD.
Practice Address - Street 2:GME M115
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-833-3034
Practice Address - Fax:415-833-4983
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program