Provider Demographics
NPI:1982131785
Name:ANNA GASPARYAN MD INC
Entity Type:Organization
Organization Name:ANNA GASPARYAN MD INC
Other - Org Name:DESERT VASCULAR ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GASPARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-597-4083
Mailing Address - Street 1:333 N SUNRISE WAY # 1783
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6196
Mailing Address - Country:US
Mailing Address - Phone:917-597-4083
Mailing Address - Fax:
Practice Address - Street 1:333 N SUNRISE WAY # 1783
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6196
Practice Address - Country:US
Practice Address - Phone:917-597-4083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty