MEDICARE: DR. ANNA LEE AMARNATH MD, MPH

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
1	207Q00000X	Family Medicine Physician	MD60149260	WA
2	207Q00000X	Family Medicine Physician	A125761	CA

General Provider Information

NPI Number	:	1518129790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA LEE AMARNATH MD, MPH

Provider Business Mailing Address
First Line	:	1501 CAPITOL AVE
Second Line	:	PO BOX 997413, MS 4400
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 CAPITOL AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-5005
Country	:	US
Telephone Number	:	916-449-5141
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	01/02/2015

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