Provider Demographics
NPI:1932117165
Name:DOMA, ANAMIKA K (DO)
Entity Type:Individual
Prefix:DR
First Name:ANAMIKA
Middle Name:K
Last Name:DOMA
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Gender:F
Credentials:DO
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Mailing Address - Street 1:SUITE 900, 2100 POWELL STREET
Mailing Address - Street 2:MEDAMERICA ATTN: ANNIE CHANG
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1803
Mailing Address - Country:US
Mailing Address - Phone:510-350-2638
Mailing Address - Fax:510-879-9128
Practice Address - Street 1:2100 POWELL ST
Practice Address - Street 2:SUITE 900
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608-1826
Practice Address - Country:US
Practice Address - Phone:510-350-2638
Practice Address - Fax:510-879-9128
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2010-10-07
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Provider Licenses
StateLicense IDTaxonomies
NJMB07740800207P00000X
CA20A11352207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine