Provider Demographics
NPI:1861040750
Name:ANANTI, HELEN C
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:C
Last Name:ANANTI
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 1:7401 THE PLZ STE C
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-1925
Mailing Address - Country:US
Mailing Address - Phone:704-526-0426
Mailing Address - Fax:704-733-9771
Practice Address - Street 1:7401 THE PLZ STE C
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-1925
Practice Address - Country:US
Practice Address - Phone:704-526-0426
Practice Address - Fax:704-733-9771
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies