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NPI Code Detail

MEDICARE: DR. ANAHITA KALIANIVALA PHD

MEDICARE: DR. ANAHITA KALIANIVALA PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist4674NC
2103TC0700XClinical PsychologistPY0991NV

General Provider Information

NPI Number : 1194158923
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANAHITA KALIANIVALA PHD
Provider Business Mailing Address
First Line : 5150 MAE ANNE AVE, SUITE 405
Second Line : #1330
City : RENO
State : NV
Zip : 89523-1859
Country : US
Telephone Number : 775-235-2406
Fax Number :
Provider Business Practice Location Address
First Line : 5150 MAE ANNE AVE, SUITE 405
Second Line : #1330
City : RENO
State : NV
Zip : 89523-1859
Country : US
Telephone Number : 775-235-2406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2013
Last Update Date : 03/12/2025

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