Provider Demographics
NPI:1982803573
Name:INNES, ANH LAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANH
Middle Name:LAN
Last Name:INNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:BOX 0130
Mailing Address - Street 2:505 PARNASSUS AVENUE
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0130
Mailing Address - Country:US
Mailing Address - Phone:415-476-9456
Mailing Address - Fax:415-502-7814
Practice Address - Street 1:BOX 0130
Practice Address - Street 2:505 PARNASSUS AVENUE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0130
Practice Address - Country:US
Practice Address - Phone:415-476-9456
Practice Address - Fax:415-502-7814
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79839207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH35596Medicare UPIN