Physician Compare National (NPI:1861497901)

HEALTHCARE PROVIDER: YVONNE D VANARSDALE-IMANI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1861497901
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335191469
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050218000088
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VANARSDALE-IMANI
	Individual professional last name
Provider First Name	YVONNE
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	TUFTS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PREVENTATIVE MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT, PREVENTATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1400 BARBARA LOOP SE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE K
	Group Practice or individual's line 2 address
City	RIO RANCHO
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	871241088
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y