Provider Demographics
NPI:1851400972
Name:THAMPY, ANILA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANILA
Middle Name:
Last Name:THAMPY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7105 N CHESTNUT AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0357
Mailing Address - Country:US
Mailing Address - Phone:559-437-9024
Mailing Address - Fax:559-513-8593
Practice Address - Street 1:7105 N CHESTNUT AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0357
Practice Address - Country:US
Practice Address - Phone:559-437-9024
Practice Address - Fax:559-513-8593
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48322208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A483220Medicaid
CA00A483220Medicaid
CAPENDINGMedicare ID - Type Unspecified