Provider Demographics
NPI:1831196260
Name:TALIP, ANALYN T (MD)
Entity type:Individual
Prefix:
First Name:ANALYN
Middle Name:T
Last Name:TALIP
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:PO BOX 6069
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-6069
Mailing Address - Country:US
Mailing Address - Phone:704-316-6360
Mailing Address - Fax:704-316-6361
Practice Address - Street 1:132 SUNSET CT
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-2429
Practice Address - Country:US
Practice Address - Phone:803-936-7450
Practice Address - Fax:803-936-7452
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400992207RE0101X
SC81939207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00183794OtherRAIL ROAD MEDICARE
NC89137MYMedicaid
NC137MYOtherBCBS
NC89137MYMedicaid
NCH36267Medicare UPIN