Anis, Kisra

Anis, Kisra is an individual health care provider with primary practice located at 1400 Pelham Pkwy S , Bronx NY 10461-1138. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Anis, Kisra can be contacted via phone (718) 918-3060.

Contact Information

Primary practice address
1400 Pelham Pkwy S Bronx NY 10461-1138
Fax: (718) 918-4469
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 207404 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 207404 New York
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 207404 New York

Profile Details

NPI number 1518097146
LBN Legal business name Anis, Kisra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated May 7th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518097146 NPPES
New York MEDICAID 02210451

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