Provider Demographics
NPI:1831262781
Name:SLOAN-GARCIA, ANITA LEE (MD)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:LEE
Last Name:SLOAN-GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 SUN AVE NE STE 650
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4670
Mailing Address - Country:US
Mailing Address - Phone:505-835-6767
Mailing Address - Fax:866-881-5131
Practice Address - Street 1:100 SUN AVE NE STE 650
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4670
Practice Address - Country:US
Practice Address - Phone:505-835-6767
Practice Address - Fax:505-545-6727
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2004-0179207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM15770591Medicaid