Healthcare Provider Details

I. General information

NPI: 1457084808
Provider Name (Legal Business Name): ANITA PODASAINI KAFLE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13440 NC-210 HWY
BENSON NC
27504
US

IV. Provider business mailing address

13440 NC-210 HWY
APEX NC
27502-3922
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 972-900-2701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-13236
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: