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NPI Code Detail

MEDICARE: ANNETTE NTSAMA MD

MEDICARE: ANNETTE NTSAMA MD
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
1207R00000XInternal Medicine Physician24837NV
2208M00000XHospitalist Physician24837NV
3207R00000XInternal Medicine Physician52555AL

General Provider Information

NPI Number : 1548767486
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE NTSAMA MD
Provider Business Mailing Address
First Line : 6500 LONGLEY LN
Second Line :
City : RENO
State : NV
Zip : 89511-2632
Country : US
Telephone Number : 775-799-7320
Fax Number :
Provider Business Practice Location Address
First Line : 400 TAYLOR RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-3512
Country : US
Telephone Number : 334-277-8330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2018
Last Update Date : 01/11/2026

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