MEDICARE: DR. ANTHONY STEVEN BIANCHI 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
1	2083X0100X	Occupational Medicine Physician	A63365	CA
2	208D00000X	General Practice Physician	A63365	CA
3	207V00000X	Obstetrics & Gynecology Physician	A63365	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609866649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY STEVEN BIANCHI MD

Provider Business Mailing Address
First Line	:	6042 N FRESNO ST
Second Line	:	SUITE 101
City	:	FRESNO
State	:	CA
Zip	:	93710-5279
Country	:	US
Telephone Number	:	559-224-6754
Fax Number	:

Provider Business Practice Location Address
First Line	:	6042 N FRESNO ST
Second Line	:	SUITE 101
City	:	FRESNO
State	:	CA
Zip	:	93710-5279
Country	:	US
Telephone Number	:	559-224-6754
Fax Number	:

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

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	12/22/2016

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