Healthcare Provider Details

I. General information

NPI: 1356094080
Provider Name (Legal Business Name): ANNA VAKIL LHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2022
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6888 E MISSION ST
YUMA AZ
85365-8861
US

IV. Provider business mailing address

6888 E MISSION ST
YUMA AZ
85365-8861
US

V. Phone/Fax

Practice location:
  • Phone: 928-247-6385
  • Fax: 928-247-6385
Mailing address:
  • Phone: 623-444-5577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License NumberH-000003
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: