Healthcare Provider Details

I. General information

NPI: 1811524788
Provider Name (Legal Business Name): ANOSHA TALPUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 08/25/2024
Certification Date: 08/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 BERTNER AVE
HOUSTON TX
77030-2604
US

IV. Provider business mailing address

4381 S EASON BLVD STE 301
TUPELO MS
38801-6584
US

V. Phone/Fax

Practice location:
  • Phone: 832-355-1000
  • Fax:
Mailing address:
  • Phone: 662-377-3008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number33238
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: